A division of Integrated Medical Professionals, PLLC
What to Bring to Your Appointment
Kindly complete the enclosed information and bring it with you
to your appointment on _______________________.
You are required to bring your:
- Insurance Card (s)
- Referral (if required by your insurance)
- Worker’s compensation information (if applicable)
- No Fault information (if applicable)
- Test results (lab work, x-rays and ultrasounds) and any other reports related to your urological problem.
* Payment is required at time of visit (copay and deductible)
If you arrive at our office without this information, you will have to reschedule your appointment.
Thank you.
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