Patient Info Before Your Visit (forms, etc.)
To help us make the most of your visit, please come to the office prepared with the following:
- Insurance card(s) and an Identification Card (i.e. Driver’s License)
- Proper referral or authorization from your insurance company (if required)
- Valid Referrals for patients with HMO insurances
- List of Medications you are currently taking
- Be prepared to give a Urine Sample when you arrive to the appointment
- Related lab reports, x-rays, consults or reports and previous records
- AUA Symptom Score form
Also, we ask that you please arrive at our office 20 minutes prior to your appointment time.
Insurance
While our physicians are providers for most major insurance programs, it is important to check your insurance providers list of participating physicians to be sure your program allows you to be seen at our office. Also please review with your insurance provider the rules and limitations on coverage and reimbursement.
Privacy Practices
Notice of Privacy Practices for Advanced Urology Associates
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
Medical Records Release Form
Please visit our Medical Records Release page to learn how obtain a copy of your medical records or to have your medical records sent to another physician.
Nondiscrimination and Accessibility Notice
Advanced Urology Associates complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex (consistent with the scope of sex discrimination described at 45 CFR § 92.101(a)(2)). Advanced Urology Associates does not exclude people or treat them less favorably because of race, color, national origin, age, disability, or sex.
Download our Notice of Nondiscrimination and Accessibility Notice for more information.
For more information, please visit Section 1557 of the Affordable Care Act Notice of Nondiscrimination and Accessibility.
