Before providing any patient information, there MUST BE A WRITTEN RELEASE FROM THE PATIENT

Instructions for Completion of Insurance Forms

When requests to complete insurance forms are received, please:

  1. Fill in our contact information: Addresses, phones, fax, etc.

  2. Fill in the visit dates if requested. If there is not enough space, start with the most recent and work your way back

  3. Print out all of the requested information. E.g. Consults, pathology or OR reports

  4. Pass along to the Urologist for Signature and final review - DO NOT SEND OUT WITHOUT THE UROLOGIST HAVING REVIEWED THE REQUEST 

Fees

Form Type Krahn Poon Rapoport Taylor
Insurance
Medical Record - Physician
Medical Record - Lawyer
Medical Record - Patient

Instructions for Completion of Absences/Return to Work

Procedure Standard Length of Time Off Other (Activities, etc.)
Radical Prostatectomy 6 Weeks