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Bergen Urological Associates, PA

Patient Information


Appointment Scheduling
What to Bring to Your First Appointment
Finances, Insurance, and Fees
Notice of Privacy Practices

Appointment Scheduling

Office hours are by appointment only. Please call 201.342.6600 during office hours.

Although we try to keep your appointment on schedule, there are occasional emergencies in which the doctor is unavoidably detained. We will make every effort to contact you to reschedule if this should occur, so it is important that we have your phone number(s) on hand. If the doctor is running late at the time of your appointment, you will be informed and given the choice of waiting or rescheduling. We appreciate your patience and understanding in this event.

We do appreciate the sensitive nature of many urological conditions. Since our reception area seating is somewhat limited, we ask that you try to limit the number of people who accompany you for your appointment.

If you are unable to keep an appointment, please be kind enough to notify us as early as possible at 201.342.6600 so that we may schedule another patient for your time slot. Thank you.

Some office procedures (such as cystoscopy, vasectomy, semen analysis, biopsy, ultrasound examinations, etc) require additional time. When scheduling an appointment, please inform our receptionist of the nature of your problem so that the proper amount of time can be allotted for your visit.

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What to Bring to Your First Appointment

Be sure to bring your insurance card, information about your medical history, current medications, and any other information or records that might help in your treatment.

To save you time in the waiting room, you can print and fill out our patient registration, medical data, past medical history, and review of systems forms, from this web page. To view and/or print the forms, click here: patient information forms.

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Finances, Insurance, and Fees

Due to ever-increasing costs of processing and mailing statements, we request payment at the time the service is provided. Payments may be made by cash, check, VISA or MasterCard.

If you have commercial medical insurance, we will supply you with a receipt for filing your insurance claim. You will be responsible for full payment of your bill if there is a difference between the insurance payment and the amount of the bill. As a courtesy, we will file your hospital claim with your insurance company and you will receive a statement for services rendered.

If you are a member of an HMO (health maintenance organization), please provide us with the appropriate forms and your insurance ID card when you register with the receptionist. These forms must be obtained by you from your primary care physician prior to your visit in our office. If you do not have the necessary referral forms from your primary care doctor, your office visit will need to be rescheduled until such time as you have these available. Your co-payment is due at the time of service.

We will be happy to work with you in establishing a payment program that will not create a hardship in the event of a larger fee not covered by insurance. Our fees for office visits, procedures, and surgery are on file in the office. If you have a specific question about our charges, please feel free to ask us.

Insurance Provider List [PDF Help]

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Notice of Privacy Practices

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. It is given to all new patients, and a copy is available upon request.



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Bergen Urological Associates

255 W. Spring Valley Ave.
Suite 101
Maywood, NJ 07607
Tel: 201.342.6600
Fax: 201.342.4222
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