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What to Bring to Your Appointment
Insurance and Payment Information
Notice of Privacy Practices
What to Bring to Your Appointment
If visiting the clinic for the first time, print and fill out the patient information questionnaire:
Download form for male
Download form for female
Other items you should bring are:
Your insurance card
Physician referral forms, if required by your insurance company
List of medication, including the dose and frequency
Information about your medical and surgical history
Recent x-rays or other test results related to your condition
Insurance and Payment Information

McIver Urological Clinic is a provider for Medicare and most major insurance plans, and provides insurance billing. You are responsible for charges that are not covered by your insurance, at the time of your appointment.

Your insurance company may require a co-payment at the time of your appointment. When necessary, our staff will work with patients to set up a payment plan.

If you have questions regarding billing or which insurance plans we accept, please call us at the phone number below. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.

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Privacy Practices
Notice of Privacy Practices for McIver Urological Clinic.
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.
 

McIver Urological Clinic
710 Lomax St.
Jacksonville, FL 32204
Tel: 904.355.6583
Fax: 904.355.4922


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