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                         · Previous medical records, including x-rays or other studies, related to your childs urologic condition.
                                                         · List of any questions you have relating to your childs condition.
                                                         · Completed Patient Registration Form.
                                                         · Completed Patient Questionnaire.
                                                         · Completed Acknowledgement Form stating that our Notice of Privacy Practices Policy has been
                                                           reviewed and agreed to.
                                                         · Your Drivers License.
                                                         · Your childs insurance card(s).
                                                         · Cash, check, money order, or credit card to pay your share of the cost of the visit. Newborn Circumcisions must be paid by cash or credit card only (no checks).  · A referral from your childs Pediatrician/Family Practitioner, if required by your insurance company.
                                                         · Written authorization or custody paperwork, if the patient is under 18 years old and will not be accompanied by a
                                                           legal custodian.
                                                         · Prior to your appointment, you should review the following information:  
                        · Financial Policy  · Participating Insurance List  
                        If you need to cancel your childs appointment, please do so at least 24 hours in advance.  
                         
                         
                         
                           
                             
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