A representative of our administrative staff is always ready to serve you

What to Bring to Your Appointment

• Your insurance card
• Physician referral forms if required by insurance
• A list of current prescription or over-the-counter medications you are taking, including dose and frequency
• Pertinent information about your medical and surgical history
• Any recent x-rays or appropriate records you may have
• You can print and complete patient forms in advance using the links below

Patient Forms

You can easily view and print the necessary patient forms using the links below. [printable page troubleshooting]

• Patient Registration Form
• Patient History Form
• International Prostate Screening Score (IPSS)

Learn About Your Upcoming Procedure

If you are having one of the following diagnostic procedures, please review the information on these pages:

• Cystoscopy
• Intravenous pyelogram (IVP)
• Prostate biopsy instructions; Post biopsy instructions
• Urodynamics testing

Payment and Insurance

Lake Success Urological Associates is a provider for Medicare and most major insurance plans. We provide insurance billing. Anything not covered by insurance will be your responsibility. We request payment at the time of your appointment for services that are not covered by insurance. Your insurance company may also require you to pay a co-payment at the time of your appointment. When necessary, our staff will work closely with patients who require a payment plan.

If you have any questions regarding which insurance plans we accept or any patient billing concerns, please call us at the phone number below. Questions regarding your coverage and benefits should be directed to your employer or insurance company.

Some of our helpful clerical staff

Hospital Affiliations

• Long Island Jewish Hospital
• Mercy Medical Center
• North Shore University Hospital, Manhasset
• St. Francis Hospital
• Winthrop Hospital