Patient Information
Insurance and Payment Information | Privacy Practices
Hospitals:
- Sparrow/St. Lawrence Hospital
- Ingham Regional Medical Center
- Carson City Hospital
- Clinton Memorial Hospital
- Eaton Rapids Medical Center
Outpatient Surgery Centers:
- Lansing Surgery Center
- Genesis Surgery Center
Please arrive 15 minutes prior to your appointment time so that we can complete your initial paperwork.
Please download, complete, and bring with you the New Patient Packet found in our forms section.
- Patient's insurance card
- List of current prescriptions and/or over-the-counter medication, including dose and frequency
- Information about patient's medical and surgical history
- Recent test results, x-rays, or relevant records
We must have a copy of the films from any x-rays or cat scans done. Please pick these up from the hospital where you had them done and bring them with you to your appointment.
Insurance and Payment Information
Please read our billing and insurance policy:
Capital Urological Associates is a provider for Medicare and most major insurance plans, and provides insurance billing. You are responsible for co-payments or charges that are not covered by your insurance. If you have questions regarding billing or which insurance plans we accept, please contact us. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.
Our Notice of Privacy Practices describes how medical information about you may be used and disclosed and how you can get access to this information. It is given to all new patients and a copy is available upon request.
- Office Privacy Practices [PDF]
