Bardmoor | Clearwater | Palm Harbor
Safety Harbor | St. Petersburg | Trinity
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Patient Information

[Payment Policy] [Phone Calls] [Refill Requests] [Lab Results]

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New Patients:
We request that you please complete the New Patient Information and New Patient Medical History Form prior to you first visit. By filling out these forms ahead of time, you will save significant time at the time of your visit. If you have any questions when filling out the forms, please do the best you can, our staff will assist you with your questions on the day of your visit.

Payment policy

Fees, Billing and Insurance - Initial visits and subsequent office visits are customarily paid for at the time of service unless you are on a managed care insurance plan, then we will file the insurance for the fees charged. You are responsible for any co-pays at the time of service. You are also responsible for obtaining any referral numbers that may be required by your insurance carrier before seeing a specialist. Patients who are unable to pay at the time of service must make arrangements with the billing office before the visit.

Surgical Fees  - Surgical fees will be filed with your insurance carrier for payment, however, if you do not have any insurance you must make arrangements with the billing office before having your surgical procedure. Please remember you are still responsible for any deductibles or co-pay not covered by your insurance company and we will be glad to work with you on making payment arrangements for this.

Past Due Accounts - All accounts are due and payable within 30 days of the date of service or 30 days after insurance has paid. Accounts are considered past due after 90 days unless specific arrangements are made for payment of a bill in installments. If no arrangements have been made after 90 days, your account will be reported as delinquent. This can be avoided by prompt payment of your bill. Should you have special financial circumstances, we ask that you discuss this directly with your doctor so that an equitable solution can be achieved.

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How we handle patient phone calls:

There are a large volume of phone calls received in our offices daily. We ask that you be as concise and to the point as possible when you call. Identify yourself and your need (i.e. schedule appointment, obtain lab results, ask medical questions, etc). Your call will be directed by the information obtained. We have a voice mail system to help our doctors and nurses handle all the incoming calls they receive daily, please leave a clear message for them and they will return your call.

Non-emergency Calls - These calls should be made to our office during regular office hours 8:30-5:00. The doctor or his nurse will make every effort to return your call as soon as possible but not in such a way as to inconvenience regularly scheduled patients. Please give the receptionist a day and evening phone number where you can be reached.

Emergency Calls - In the event of an emergency, please call 911. If the office is closed, the voicemail of the on-call doctor will give you instructions and he will get back to you immediately. Alternatively, you can proceed directly to the emergency room most convenient to you and have the staff on duty there get in touch with us. Consequently, the emergency room will be asked to perform preliminary evaluation and treatment until your doctor arrives or an appropriate disposition can be made.

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Prescriptions and Refills

Prescription Refill Calls - Calls for refills should be made through your pharmacist during office hours. Many of our prescriptions are written with numerous refills. Please check your prescription bottle before contacting the office. You should not abruptly stop taking medication of your own accord without first contacting the physician. We need to update our medical records when you have an allergic reaction to a medication.

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Lab Results

Lab Results Calls - Usually the patient will be instructed to call the doctor after a certain time for the results of any laboratory testing and X-rays. The physicians will be most happy to return your call at a time when it does not interfere with his ability to take care of regularly scheduled patients and discuss these results with you.

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UROLOGY SPECIALISTS AND ASSOCIATES

Payment Policy

Fees, Billing and Insurance - Many of the fees incurred by patients seeking attention from a urologist are of a technical nature somewhat different from that experienced in other physician offices. Because the practice of urology must rely heavily upon the diagnosis obtained by cystoscopy, X-ray and ultrasound as well as certain specialized blood and urine tests, the patient may from time to time be confronted with a bill which is more than they are accustomed to seeing from another specialist. Our initial visits and our subsequent office visits are customarily paid for at the time of service. However, payments for larger bills incurred in the office or hospital as a result of numerous diagnostic procedures can be arranged for you by our patient accounts manager.

Surgical Fees

Surgical fees for non-elective procedures are to be filed with the appropriate insurance carrier. After payment has been made by your insurance carrier you may receive a bill from us for any unpaid balance. Please remember this unpaid balance may reflect in part whether you have met your deductible, whether there are any adjustments, co-payments from other insurance companies, etc. Most insurance companies do not pay the full amount of the surgical bill because of the variables relating to the deductible, the co-payment, etc. Where possible, we will attempt to give you an estimate ahead of time as to what you may be expected to pay out of pocket after your insurance company has paid the covered amount.

Past Due Accounts

All accounts are due and payable within 30 days of receipt of charges or 30 days after insurance has paid. Accounts are considered past due after 90 days unless specific arrangements are made for payment of a bill in installments. After 90 days if no arrangements have been made your account will be reported as delinquent to an appropriate credit agency. This delinquency will remain on your credit record and prevent you from obtaining credit in the future. This deficiency can be avoided or removed by the prompt payment of your past due account. Should you have special financial circumstances, we ask that you discuss this directly with your doctor so that an equitable solution can be achieved.

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Home | Administration | Locations: Urology Specialists of West Florida 1 in Clearwater, Bardmoor, Palm Harbor | Urology Specialists of West Florida 2 - Urology Consultants in Safety Harbor, Trinity, Tampa | Urology Specialists of West Florida 3 in New Port Richey, Tampa, Trinity, Palm Harbor | Urology Specialists of West Florida 4 - Pinellas Urology in St. Petersburg | Urology Specialists of West Florida Radiation Oncology Center in Clearwater | Our Doctors | Patient Education for Urology Conditions | Post-Operative Instructions for Urology Patients | Latest Technology for Urological Conditions | Urology Specialists of West Florida In the News

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