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Forms and Insurance

 

Prepare for Your First Appointment

 

  • Bring insurance documents and photo id to your appointment
  • Remember documents from other offices needed for this visit.
  • Download and complete patient forms:
  • Please avoid urinating just prior to your visit as you may be asked to provide a urine sample.
  • Your co-payment is due at the time of your visit.

Do you have insurance questions?

 

Imprimis Urology is in-network with most major insurance carriers.  If you have any questions regarding coverage, please contact our Insurance/Billing Manager at 336.584.6300 or email at billing@imprimisurology.com.

Do you have questions about your bill?

If you have any questions, please contact our Insurance/Billing Manager at 336.584.6300 or email at billing@imprimisurology.com.

 

Cancellation Policydownload pdf

HIPAA Notice of Privacy Practicesdownload pdf