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New Patients

metro urology patientsUpon your first appointment with Metropolitan Urological Specialists, PC you are required to bring the following:

  1. Your insurance card
  2. A list of all your current medications
  3. Completed patient forms

Please come into the office 10-15 minutes early so we are able to copy your insurance card(s) and verify the information you provided.

 

Please select the correct forms from the list below.

  • This is a new patient's information, insurance information, payment policy form.
  • download the patient instructions PDF DOWNLOAD PDF >>

    New Patient Forms
  • This is an outline of past patient medical history form.
  • download the patient instructions PDF DOWNLOAD PDF >>

    Patient History Forms
  • This form is to confirm your authorization to use or disclose your protected health information for a special purpose.
  • download the patient instructions PDF DOWNLOAD PDF >>

    Individual Patient Authorization
  • This is a booklet explaining how medical information about you may be used and disclosed and how you can get accces to this information.
  • download the patient instructions PDF DOWNLOAD PDF >>

    Patient Privacy Policy
  • This form is an acknowledgement that the patient has read and agrees to Metropolitan Urological Specialists Patient Privacy policies.
  • download the patient instructions PDF DOWNLOAD PDF >>

    Patient Privacy Policy Acknowledgement Form
  • This form documents our Payment Policies.
  • download the patient instructions PDF DOWNLOAD PDF >>

    Payment Policies