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Patient Forms
We want to get you working with one of our healthcare professionals as quickly as possible. So please print and complete the patient information forms in advance of your visit and bring the completed form to your appointment.
If you are a new patient to Florida Urology Center, completing these forms before arriving for your appointment may help you save time. For billing questions please call 386-673-5100.
Medical Records Release
What to Expect
Our pleasant staff is ready to assist and help you feel comfortable and informed about your treatment. Please call (386) 673-5100 with questions or concerns prior to your visit.
When you come to our office, please bring the following information:
● Your insurance card(s).
● Appropriate medical documents, lab results, or x-rays to your first appointment.
● A list of medications you are currently taking.
● Any forms that were mailed to you by our office or your referring doctor.
Your First Visit
As mentioned above, please bring your insurance card(s) and a list of your current medications with you to your first visit. We recommend that you arrive for your appointment 20 minutes early to fill out any patient registration forms and a brief health history questionnaire. You may need to provide a urine sample as part of your exam, so please do not empty your bladder before seeing the nurse.
Payments and Insurance
Florida Urology is contracted with all major insurance companies. Our business personnel will bill your insurance company directly. All co-pays and deductibles are due at the time care is delivered. Once your insurance company payment is received, you will be billed for the patient responsible portion of your claim.
If we are not contracted with your insurance company, you will be asked to pay for your care when it is provided. In this case, we will provide you with the necessary paperwork to give to your insurance company so that you can be reimbursed directly.
If you have any questions about your insurance coverage or require assistance, please feel free to speak with someone in our billing department at 386-673-5100
Florida Urology Center, a state of the art facility is one of the only centers in the United States offering comprehensive radiation therapy for urologic cancers with patient centered care. That means from initial diagnosis to final treatment our team of caring, highly trained professionals are committed to placing your individual needs and your family first.