What to Bring to Your Appointment

Below please find several patient forms which we ask you to fill out prior to your first visit. Simply click on the highlighted term and another window will appear with the printable form. You must have Adobe Acrobat Reader™ to access these forms. Click Here to download this program free-of-charge.

Patient Information Form
Insurance Form
Patient History Form
Review of Systems (page 2 of Patient History Form)
Privacy Practices
Medication Log


Payment and Insurance

Dallas/Fort Worth Urology Consultants is a provider for most major insurance plans. However, it is in your best interest to check your insurance provider 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.
We also accept cash, checks, Visa, Mastercard, Discover, and American Express.
Financing options: Please contact our office at (817) 731-0316 press "0" for the operator and ask for our office manager Jo Stewart for further details.

Hospital Privileges

Dr. Hey:
One Day Surgery Center
Life Care Hospital
Metroplex Surgicare
Baylor Surgical Hospital
Kindred Hospital
Plaza Medical Center
Harris Methodist HEB Hospital
Harris Methodist Southwest
Southwest Surgery Center

Dr. Stroud:
Metroplex Surgicare
Baylor Surgical Hospital
Plaza Medical Center
Baylor Medical Center-Grapevine
Baylor Medical Center-Irving
Southwest Surgery Center
Grapevine Surgery Center
Physician's Metroplex Hospital
Baylor All Saints Hospital - Ft. Worth


 

 

 

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