What to Bring to Your Appointment

• Your insurance card
• Physician referral forms if required by insurance
• A list of current prescriptions and/or over-the-counter medications you are taking, including dose and frequency
• Pertinent information about your medical and surgical history
• Any recent x-rays or appropriate records you may have

Insurance and Payment Information

Foothills Urology, P.C., is a provider for Medicare and most major insurance plans. We provide insurance billing. Anything not covered by insurance will be your responsibility.

We request payment at the time of your appointment for services that are not covered by insurance. Your insurance company may also require you to pay a co-payment at the time of your appointment. When necessary, our staff will work closely with patients who require a payment plan.

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

Patient Forms

You can view and print the necessary patient forms for your appointment using the links below. Please print the forms, complete them and bring your completed forms to the first appointment.

• Patient Registry Form (PDF)
• Medical History Form (PDF)

[ PDF Help ]

Hospital Affiliations

Foothills Urology, P.C., maintains privileges at the following hospitals:

Northwest Medical Center 6200 N. LaCholla Blvd. Tucson, AZ 85741

Northwest Medical Center Oro Valley 1551 East Tangerine Road Oro Valley, AZ 85737

Privacy Practices

Notice of Privacy Practics for Foothills Urology PC 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.