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Patient Information
What to Bring to the Appointment | Patient Forms and Instructions What to Bring to the Appointment
[ back to top ] Patient Forms and Instructions The following patient forms can be printed out, completed and brought to your appointment:
Patient Information Record (PDF) Medication List (PDF) Patient Consent to Release Records (PDF) Privacy Practices Pre-Procedure Instructions for a Vasectomy (PDF) [PDF help] [ back to top ] Insurance and Payment Information We are providers for Medicare and most major insurance plans. We provide insurance billing. Anything not covered by insurance will be your responsibility. We request payment at the time of your appointment for services that are not covered by insurance. Your insurance company may also require you to pay a co-payment at the time of your appointment. When necessary, our staff will work closely with patients who require a payment plan. If you have any questions regarding which insurance plans we accept or any patient billing concerns, please call us at the phone number below. Questions regarding your coverage and benefits should be directed to your employer or insurance company. [ back to top ] Please review our Notice of Privacy Practices [ back to top ]
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Scottsdale Center for Urology
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