Insurance and Payment Information

We accept most major insurances and Medicare. We encourage all patients to confirm their insurance coverage prior to making an appointment with our practice.

What to Bring to Your Appointment

Please bring your insurance card, identification, and referral (if necessary) to your appointment. We also request that you arrive early to your first appointment to complete a medical history; please bring a list of all current medications you are taking to this appointment. Or print out and complete the patient forms in advance using the links provided below.

Patient Forms

If you prefer to fill out patient forms in advance, you can print out the patient forms using the links below. Bring your completed forms to your first appointment.
[PDF Help]

• Patient registration form
• Health history form
• Patient Consent to Leave Detailed Messages / Information form

Hospital Affiliations

If your insurance requires your treatment at a particular medical center, please alert our staff before your procedure. We are affiliated with the following outstanding local hospitals:

• Research Medical Center - Kansas City, MO
• Baptist Medical Center - Kansas City, MO
• Trinity Lutheran Hospital - Kansas City, MO
• Overland Park Regional Medical Center - Overland Park, KS
• Research Belton Hospital - Belton, MO
• KU Med Center - Kansas City, KS
• St Luke's Hospital of Kansas City - Kansas City, MO
• Shawnee Mission Medical Center - Shawnee Mission, KS
• St Luke's South - Overland Park, KS
• St Joseph Health Center - Kansas City, MO
• Menorah Medical Center - Overland Park, KS
• Providence Medical Center - Kansas City, KS
• Bethany Medical Center - Kansas City, KS
• Olathe Medical Center - Olathe, KS
• Ransom Memorial Hospital - Ottawa, KS
• Anderson County Hospital - Garnett, KS
• Excelsior Springs Medical Center - Excelsior Springs, MO
• North Kansas City Hospital - N. Kansas City, MO
• Liberty Hospital - Liberty, MO

Notice of Privacy Practices

Our Notice of Privacy Practices describes how health information about you (as a patient of Kansas City Urology Care, PA) may be used and disclosed, and how you can get access to your protected health information (PHI). Please review this notice carefully.