Welcome to Advanced Urology! There are several forms that need to be completed before your first visit. Please print and complete the forms listed below and bring them with you to your initial visit.
- Patient Information
- Assignment of Benefits
- Medical History Part A
- Medical History Part B
- Check the Facts About your Urinary Activities
- Authorization for Verbal Release of Information
Please arrive 30 minutes prior to your appointment so we may process all necessary paperwork. Please bring the following:
- All of the attached completed patient information forms
- Your insurance card
- Co-payment amount due at time of service
- List of all medications/ allergies
- Copies of all recent lab results, x-rays etc.
If you have any questions prior to your appointment, please call our office.
We look forward to seeing you soon.
The doctors and staff at Advanced Urology.