Patient Information

  1. Patient Portal
    Advanced Urology Institute, P.A. strives to stay on the cutting edge of technology. We have introduced a new secure website that will make your experience with us easier and more convenient. Some of the new on-line services available now include appointment scheduling requests, medical record access, medication renewals, and an on-line forms tool that helps you complete forms such as new patient registration and medical history.
  2. Clinical Information
  3. New Patient Information
  4. Patient Instructions
  5. Patient Rights and Responsibilities
  6. Insurance and Payment
  7. Useful Internet Links
  8. Patient Demographic Sheet

Hospital Affiliations

The physicians at Southeastern Urological Center, P. A. are affiliated with the following facilities: Capital Regional Medical Center, Tallahassee Memorial Hospital, Tallahassee Single Day Surgery, HealthSouth Rehabilitation Hospital, Bainbridge Memorial Hospital, Doctors Memorial in Perry, Calhoun Liberty Hospital in Blountstown, Jackson Hosital in Marianna and Shands Teaching Hospital at the University of Florida.

Prescription Refills

To request a prescription refill, please call: (850) 309-0400 ext. 400, Monday & Friday, 8:30 a.m. to 4:30 p.m. You will be forwarded to a voice message box where you can leave your name, date of birth, medication name, pharmacy phone number and your phone number. Please allow a 48-hour turn around for prescription refills.

After Hours Emergencies

For any after-hours emergencies, please call our appointments phone number: (850) 309-0400 and leave a message for our physician on-call. In the event of a life-threatening emergency, call 911 or go directly to the emergency room at one of the local hospitals.

Your Visit

Please bring your current insurance information, photo identification and any X-rays, lab work or medication information that your regular physician gives to you. If this is a first time visit, please complete the documents we have sent you and also bring them to your appointment.

For your convenience, please print out and complete the following forms prior to your initial visit. This will speed up your registration process when you arrive.

These files will download as Adobe PDF forms.

Important Information on Prior Authorizations:

Some insurance/HMO’s will require a prior authorization number by your insurance company/HMO and/or your primary care physician. Authorizations MUST be obtained prior to your appointment. We appreciate your assistance, understanding and patience in obtaining this information prior to your appointment.

Questions About Your Care

Our nurses are available during office hours to answer your questions. Please call and leave your name, phone number and a brief description of your problem in our special Nurse Voice Message Box. Calls received Monday through Friday by 4:30 p.m. will be returned by 6:00 p.m. the same day. If your problem is urgent and cannot wait, please let our operator know. Your call will be forwarded for assistance. Please remember that our nursing and medical assistant staff are assisting patients in our office so allow us some time to return your call or come to the phone to speak with you.

Confidentiality of Medical Records

Your medical record is strictly private. According to the Health Insurance Portability and Accountability Act (HIPAA) all patients will be given a Joint Notice of Privacy Practice. The Notice will outline how your medical information may be used and disclosed and how you can gain access to this information. If you or any other party desires a copy of your medical record, a signed authorization by you (or the legal guardian) must be on file prior to the release of your records.

Download our Privacy Agreement

Read our patients’ rights and responsibilities.