Patient Information

Urologic Surgery Associates, P.A.

What to Bring to Your Appointment | Patient Registration Forms
Insurances Accepted | Hospital Privileges | Privacy Practices

What to Bring to Your Appointment

  • Your insurance card
  • A list of current prescription or over-the-counter medications you are taking, including dose and frequency.
  • Pertinent information about your medical and surgical history. Bring any pertinent x-rays or records you may have
  • Any referral forms required by your insurance provider

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Patient Registration Forms

Please print the patient registration forms and fill them out prior to your office visit in order to expedite the registration process.

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Medical Records Release Forms

Request for Medical Records to be released to Urologic Surgery Associates, P.A.,:

Request for Medical Records to be released to another provider:

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Insurances Accepted

Urologic Surgery Associates, P.A., is a provider for Medicare and most major insurance plans. However, it is in your best interest to check your insurance providers' list of participating physicians to be sure your plan allows you to be seen at our office. Also, please review with your insurance provider the rules and limitations of coverage for your particular plan. Coverage decisions are between you and your insurance provider, although we do provide insurance billing.

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Hospital Privileges

If your insurance requires that you be treated at a particular hospital, please advise our staff before your procedure. Our physicians are affiliated with the following facilities:

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Privacy Practices

Notice of Privacy Practices for Urologic Surgery Associates, P.A.
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

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Urologic Surgery Associates, P.A.
Overland Park Office
10550 Quivira Road
Suite 105
Overland Park, KS 66215
Tel: 913.438.3833
Fax: 913.438.3832

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St. Luke's South Office
12330 Metcalf Ave
Overland Park, KS 66213
Tel: 913.951.3403
Fax: 913.951.3406

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Olathe Office
20375 West 151st Street
Suite 201
Olathe, KS 66061
Tel: 913.782.2020
Fax: 913.782.7851

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