PATIENT INFORMATION

 

Patient forms and information

Patient Registration

Review of Systems

Surgery Center, Outpatient and Hospital Preoperative and Surgical Instructions

Instructions for Vascectomy patients

Instructions for Vascectomy patients - Dr. Deguenther

Instructions for Vascectomy patients - Dr. Sanfelippo

Vasectomy Authorization

Instructions for Prostate Needle Biopsy

Robotic Preoperative Surgical Procedure Instructions

CT of the Abdomen and Pelvis Instructions

Intravenous Pylogram (IVP) Instructions

Gold Fiducial Instructions

TUMT Pre - Operative Instructions

Could you benefit from treatment for BPH or ED Questionnaire?

Instructions for Radiation Therapy

Patient Questionnaire for Radiation Therapy

List of Anticoagulants

 

 

New Patients - Download a pdf of our patient information form, fill it out and bring it with you on your visit.

What to bring to your appointment

• Your insurance card
• A list of current prescription or over-the-counter medications you are taking, including dose and frequency.
• Pertinent information about your medical and surgical history. Bring any pertinent x-rays or records you may have.
• Forms the office may have sent to you

Payment/Insurances accepted

• Medicare
• Most HMO and PPO plans

We are happy to process all insurance forms for you as long as you have provided us with the appropriate insurance information. We expect payment promptly if you receive a bill from our office for balances that may be due. Please feel free to discuss any questions you may have about billing with office staff.

 

Urology Centers of Alabama is a provider for most major insurance plans. However, it is in your best interest to check your insurance provider's list of participating physicians to be sure your plan allows you to be seen at our office. Also, please review with your insurance customer service representative (or insurance provider) the rules and limitations on coverage and reimbursement.