Wellstar Urology
1700 Hospital South Drive
Suite 404
Austell, GA 30106
Suite 404
Austell, GA 30106
About Us
Meet our Team
![A friendly image of Daniel](/-/media/project/wellstar/org/physician/daniel-mollengarden-md.jpg?rev=d59ebfbb04eb4170b2ce92742900afb2)
![A friendly headshot of Adarsh Manjunath, MD](/-/media/project/wellstar/org/physician/adarsh-manjunath.jpg?rev=f721cdc4b6294c6f88b5f426eb78ed62)
![A friendly headshot of Beau Dusseault, MD](/-/media/project/wellstar/org/physician/beau-nixon-dusseault.jpg?rev=a136c19c47394c9db593e344c1585cfe)
Meet our Team
Helpful Information for your next visit.
- Appointments and Cancellations
- Directions
- Hospitalization
- Insurance and Payments
- Practice News
- Prescription Refills
- Printable Office Forms
- Referrals
Appointments and Cancellations
Patients are seen by appointment only allowing both more convenience to the patient and opportunity for better care. We make a sincere attempt to adhere to the appointment schedule, but when emergencies and other circumstances arise beyond our control, they must take precedence and some delays may therefore occur. When you arrive at the office for your appointment, please check-in with the front office and provide any updated information since your last visit.
Directions
Contact this location for more information.
Hospitalization
Contact this location for more information.
Insurance and Payments
Due to the many types of insurance plans and policies, it is impossible for the provider to know your specific policy or plan requirements. Patients are responsible to know and understand all applicable insurance policies. In order to obtain accurate billing information we require a copy of your insurance card at the time of service. Note that we cannot file or accept assignment of your insurance unless proof of all insurance information is provided. Failure to provide sufficient insurance information at the time of service will result in payment in full until such time as adequate insurance information is provided.
ALL COPAYS, DEDUCTIBLES AND CO-INSURANCE FEES REPORTED BY INSURANCE COMPANIES ARE DUE PRIOR TO SERVICES RENDERED
For your convenience, we accept Cash, Checks, Visa, Discover and MasterCard**
ALL COPAYS, DEDUCTIBLES AND CO-INSURANCE FEES REPORTED BY INSURANCE COMPANIES ARE DUE PRIOR TO SERVICES RENDERED
For your convenience, we accept Cash, Checks, Visa, Discover and MasterCard**
Practice News
Contact this location for more information.
Prescription Refills
It is not our policy to prescribe new medications over the telephone. Long term medications may be handled over the phone if you are up to date with follow up appointments and only during regular office hours. Please call your pharmacist with refill requests early to ensure completion of the refill approval process before 3:00 p.m. The pharmacist will contact our office for approvals. Refills or medications may not be provided without an office visit.
Printable Office Forms
Authorization for Release of PHI
Authorization for Release of PHI Spanish
MyChart Adult Proxy
MyChart Child Proxy
MyChart Teen Proxy
Notice of Privacy Practices Acknowledgement
Notice of Privacy Practices Acknowledgement Spanish
Patient Communication Designation
Patient Communication Designation Spanish
Patient Registration
Patient Registration Spanish
Referrals
If your insurance plan is a plan that requires a referral to be seen by a specialist, we ask that you obtain that referral directly from your primary care physician and bring it with you. This will prevent any appointment rescheduling or delays. Due to certain managed care requirements, we are unable to request or obtain patient referrals directly from the primary care physicians.