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First Appointment Forms

Initial Visit
Patient Forms  ||  Patient Instructions
Hospital Affiliations  ||  Insurance
Notice of Privacy Practices

Initial Visit

On your initial visit, please bring:

• Your insurance and identification cards
• Referrals from your primary care physician if required by your insurance provider
• List of drug allergies
• List of current medications (prescription or over-the-counter) including your name, dosage, and frequency
• All pertinent test results regarding your urological condition
• All pertinent ORIGINAL X-ray and ultrasound images (on CD or film) and the corresponding reports
• Completed patient forms

Also, please be prepared to share your medical history with our physicians, including any medical conditions you have or may have had in the past.

Patient Forms

If you are a new patient to our practice, please print and complete the applicable patient forms below; it will save you time the day of your appointment.     [PDF Help]

• Patient Information Form (PDF)
• Health History Form (PDF)
• Men - Prostate Symptoms (PDF)

En Español

• Forma Del Historial Del Paciente (PDF)

Patient Instruction Sheets

    [PDF Help]

• Female Catheterization
• Male Catheterization
• Catheter Care
• Indwelling Catheter Care
  
  
• IVP X-ray Instructions
• Prostate Ultrasound Prep Instructions
• Surgery Instructions
• Uroflow Instructions
  
  
• Vasectomy Pre-procedure Instructions
• Vasectomy Post-operative Instructions

Hospital Affiliations

Drs. Fauer, Yogel, and Chenven are affiliated with the following hospitals:

• Broward General Medical Center
• Holy Cross Hospital
• Imperial Point Medical Center
• North Ridge Medical Center

Insurance

We are providers for Medicare and most major insurance plans. We provide insurance billing. Please inquire with us as to whether you are still able to come to our office even if we are not on your insurance plan. We are able to see many patients as "out-of-network." We will assist you in determining the benefits with your plan. 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.