Patient Information

Welcome to USONV. We have provided this information to help streamline your experience—that way, we can help you get back to living your life.

What to Bring to Your Appointment/Scheduling

  • Your Insurance Card(s)
  • Valid Photo ID
  • Any recent radiology films
  • New patient registration forms

New Patient Registration

When we get you registered for your first appointment, we request

  • New patient registration forms to be completed prior to appointment
    Adult Patient Packet
  • Arrive 60 minutes prior to the start time of your appointment
  • If you have any information, such as lab results, X-rays, or anything pertinent to your condition, please bring that with you. Failure to bring necessary documents may result in your appointment being cancelled or rescheduled.
  • Information regarding your medical insurance benefits

 

Forms

You may download and print forms by clicking on the links below. Our forms are PDF Files. Click here to download the most recent version of Adobe Reader.

Appointments

If you need to cancel an appointment, a 48-hour notice is required. We ask that you please arrive 10 minutes before your appointment time so that you can complete any required check-in forms and consents. If you fail to cancel an appointment within 48 hours, a $30 fee will be charged for recheck appointments and a $100 fee will be charged for new patient appointments or procedures. Patients enrolled in NextMD, please arrive 30 minutes prior to your appointment time. Patients NOT enrolled in our NextMD system, please arrive an hour prior to your appointment time in order to complete additional paperwork. We make a sincere effort to adhere to our appointment schedule, but emergencies do occur, and delays are sometimes unavoidable.

Appointments can be made via telephone or in person. Please have your insurance information ready to give the receptionist when you call. If for some reason the USONV physician that you have requested is not available, we will try to accommodate your request in the earliest time available or give you the option of scheduling with another physician.

Your appointment will usually be confirmed one or two days prior to your scheduled
visit to our office.

Please read our No Show/Cancellation Policy

We thank you in advance for your patience should a delay occur during your visit with us.

Insurance Claims

We participate with Medicare and many commercial insurances and managed care health plans. However, we encourage you to check with your insurance provider manual to be sure your plan allows you to be seen by one of our providers.

Many plans require a referral to be seen by a specialist, so please be sure to obtain one prior to your visit. This will keep us from having to reschedule your appointment. We process all insurance claims if we are provided with the accurate information. We ask that you please carefully check your “New Patient Insurance Form” for accuracy after completing and also notify our office of any changes with your insurance prior to your next appointment.

If you have any questions regarding your coverage and/or benefits, please contact your employer or insurance company.

Payment Information

Most insurance plans require that you pay a co-payment and/or deductible for your visit. This, as well as any outstanding balance not covered by your insurance company, will be your responsibility and will be expected at the time of your visit. We accept cash, personal checks, Visa and Mastercard. We do not accept post-dated checks, nor do we hold checks.

Additionally, we ask for advance payment of co-payments, co-insurance and/or unmet deductibles prior to scheduling surgery. We require a $100 refundable deposit by Visa or Mastercard only prior to scheduling a vasectomy. Our billing department will be happy to assist you with any questions or concerns regarding billing issues – (702) 877-0814.

Telephone Calls

We have an automated phone system designed to help expedite your call. Please listen to the options menu, then select the appropriate prompt, and your call will be directed accordingly.

If you speak to a nurse and you are expecting a return call, please allow 24 – 48 hours (depending on the urgency of your concern).

Prescription Refill Requests

Please have your pharmacy fax a request to (702) 877-0351. Please allow two business days for your request to be completed. All prescription refill requests are processed during normal business hours. Physicians do not refill medications after hours, on weekends or on holidays.

Medical Records

Requests for medical records or disability forms take up to seven days to complete. Please click here to download your HIPAA compliant medical records request form. You may then fax the signed form to (702) 579-2302. If you would rather pick up those forms once they are complete, please indicate at which office location you would like to pick them up.

Referrals

Many patients are sent to us by referral from their family physician for specialty care. If you were referred to our office, please make this fact known so that we may share our findings with your personal physician.

Hospitalization

If you require hospitalization, our office will make arrangements for your admission. Any business matters regarding the payment of the hospital account are customarily discussed with the Hospital Admitting Office at the time of the admission. Our office and the hospitals are separate business organizations, and bills for each will be submitted separately. Our office bill will include medical care administered by our physicians during your hospital stay.