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What to Bring to Your Appointment Insurance and Payment Information Hospital Affiliations Patient Forms
We realize that our patients' time is valuable, and we make every effort to see patients at their scheduled time. However, occasionally, our office falls behind schedule. We ask for your understanding; we, also, ask that patients provide as much advanced notice as possible when running late for an appointment or when needing to cancel. With this advanced notice, the time can be scheduled for another patient.
If you are a first-time patient, please plan on arriving early in order to complete a patient registration form and please bring the following items to the appointment:
Northeast Ohio Urogynecology and Continence Center is a provider for Medicare and most major insurance plans. We provide insurance billing. Please be aware that any costs not covered by insurance are your responsibility. For services that are not covered by insurance, we request payment at the time of your appointment. 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 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.
Our practice is affiliated with the following hospitals:
We are pleased to offer you the opportunity to print our forms at your convenience from this website. Please complete the necessary form(s) and bring it with you to your appointment to help reduce your waiting time.
To print our forms you must have the If you have any questions about these forms, please contact us at the practice directly.
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Northeast Ohio Urogynecology and Continence Center Emergency: 330.344.4005
676 South Broadway, Suite 102
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