Save time before

your appointment

Download & fill out four patient forms

Patient Medication Form

Patient Rights Form

Medical History Form

Registration Form






If you have medical insurance, we are anxious to help you receive your maximum allowable benefits.  In order to achieve these goals, we need your assistance and your understanding of our financial policy.


• Co-Payments are required at the time of service.

• As a courtesy, we will process your insurance claims for services at no cost to you.

• For services that are not covered by insurance, the practice requires payment of 100% of total charges unless payment arrangements have been made.


Returned checks are subject to a handling fee of $25.00.  In the event your account is turned over for collection, you will be billed and are responsible for all fees involved in that process.




Your insurance is a contract between you and your employer and/or the insurance company.  While we may be a provider of services, we are not part to that contract.  We encourage you to contact your insurance carrier personally in order to remain informed of your benefits.


Not all services are a covered benefit in all contracts. Some insurance companies arbitrarily select certain services they will not cover or which they may consider medically unnecessary, and, in some instances, you will be responsible for these amounts.  We will make every effort to ascertain your coverage for our services before treatment and will make you aware of our findings.  However, this does not guarantee payment from your insurance carrier.


We will allow you 30 days to pay any balance after insurance payment.

  • Do I need a referral

    authorization for my visit?

    If your insurance plan requires a Referral Authorization for specialty care or diagnosis procedures, please be sure to bring your referral with you or contact our office to ensure we have received it prior to you scheduled appointment. With certain HMO plans, the patient is required to get the referral directly from their Primary Care Physician for future appointments.

  • What forms of

    payment are accepted?




    Personal check


  • What Do I need to

    bring with me?

    Please bring a photo ID and your insurance card. Please bring in any pertinent medical records and a list of your current  medications.

  • Do I need to know what

    prescriptions I am taking?

    Yes because of possible drug interactions and in order to properly treat you, please bring in a list of all of your current medications including a list of vitamins and supplements.

  • How do I get

    prescription renewals?

    Please be aware that some health plans may limit the brand or quantity of your medication. Allow 3 business days for refills of routine medications.

  • Does Advanced Urology

    participate in E-Prescribe?

    We participate in E-prescribe and prefer to submit your medications electronically as per government guidelines and regulations. Please be prepared with your pharmacy name, address and phone number in order for us to submit your prescriptions electronically.

© 2016 Advanced Urology of South Florida