Patient Information

Payment and Insurance Information
Southeast Urology Network is a provider for most major insurance plans, and we do accept Medicare and most HMO and PPO plans. However, it is in your best interest to check your insurance providers list of participating physicians to be sure your plan allows you to be seen at our office. Also, please review with your insurance customer service representative (or insurance provider) the rules and limitations on coverage and reimbursement.

What to Bring to Your Initial Appointment
On your initial office visit with us our receptionist will ask you to fill out a patient information sheet. Please be able to fill out the following list (all information is essential and will be handled with the strictest of confidence):

* Insurance card

* Referral form (if dictated by your insurance provider)

* List of all medication including the dosage and frequency

* Allergies

* Surgeries

* Primary care physician

* Prior lab test pertinent to your current condition

* Prior radiology test films and reports pertinent to your current condtion

* Emergency contact

* Home and work telephone numbers

* If you would like to already have your paperwork filled out so that we may serve you more quickly please fill out and bring in this form on your visit.

Hospital Privileges

* Baptist East

* Baptist Desoto

* Methodist Germantown

* St. Francis East

Uro Center (Visit the website)

80 Humphreys Center, Suite 310
Memphis, TN 38120

Phone: (901) 747-3370
Fax: (901) 747-3372