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
• Any pertinent x-rays or records you may have

Payment and Insurance

Evergreen Urology accepts cash, check, Visa, MasterCard, and most insurances. 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.

Our billing office will assist with patient insurance forms. It is important that you read your policy in advance to be fully aware of the benefits available, and any limitations or restrictions that may apply to service you seek. Please remember that medical coverage is solely between you and your provider.

Fees

Fees for services at Evergreen Urology are based on the service or procedure provided. These charges are standard in our geographical area for comparable services. We encourage you to inquire in advance as to charges for any procedure. You will be provided with an accurate estimate. We request that payment for routine office visits and related charges be paid at the time services are rendered. This helps us to control billing costs and enables us to provide a more cost-effective service.

Hospital Affiliations

• Evergreen Hospital Medical Center
• Swedish Hospital Medical Center
• Overlake Hospital Medical Center
• Providence Medical Center
• Northwest Hospital
• Valley General Hospital

Notice of Privacy Practices

Evergreen Urology respects your privacy. We understand that your personal health information is very sensitive. We will not disclose your information to others unless you tell us to do so, or unless the law authorizes or requires us to do so.

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. Please review it carefully.