Appointments and Office Hours

Our office is open Monday through Friday, 8 a.m. to 5 p.m. For emergency care after office hours, please call our office number (402) 397-7989 or (712) 325-0014. These numbers are answered 24 hours a day.A physician is available for emergencies 24 hours a day.

Billing/Insurance Information

At Adult & Pediatric Urology, P.C., we accept most major insurances, Medicare and Medicaid. We encourage all patients to confirm their insurance coverage prior to treatment. Please bring your insurance card and referral, if necessary, to your appointment.We also encourage you to arrive early to your first appointment to complete all necessary paperwork. Please bring a list of all current medications and any pertinent lab and x-ray results or medical documents you have.

As a courtesy to our patients,we will submit your insurance claims for you. It is important that you provide us with the name, address and telephone number of your insurance company and policy number. Since insurance coverage is a contract between you and your insurance company, it is your responsibility to remit payment for your balances not covered by your insurance company. Our fees reflect the usual and customary range for our region and indicate the level of care which is provided to you. If your insurance plan requires you make a co-payment or pay co-insurance, please do so at the time of your visit or you may be asked to reschedule your appointment.We accept cash or check. If you are unable to make a payment, arrangements can be made by contacting one of our billing representatives at 402.397.7989 or 712.325.0014.

Medical record information will not be released without prior written consent. Some reports or copies of medical records require payment in advance. Please allow two weeks for this service.

Hospital Affiliations

Adult & Pediatric Urology, P.C., is a private practice group.We have privileges to admit patients and provide care at most local hospitals for your convenience.

Forms for Your Appointment

Forms for your appointment are available online. If you are a new or returning patient, please print and complete the forms below. Please fax the completed forms to our office or bring them with you to your scheduled appointment.

• Patient Information Form
• Dr. Kean History Form
• Review of Symptoms
• BPH Questionnaire (for males 19 and older)
• Female Questionnaire (for females 19 and older)
• Guarantee of Payment

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Notice of Privacy Practices

Please read our Notice of Privacy Practice for your first appointment. You will also be asked to sign a receipt of Notice of Privacy Practices form [PDF].

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ADULT & PEDIATRIC UROLOGY, P.C.

Main Office - Bergan Mercy Professional Center 7710 Mercy Rd. Suite 406 Omaha, NE 68124-2346 Tel: 402.397.7989 view map	Lakeside Urology 17055 Frances St. Suite 102 Omaha, NE 68130-4655 Tel: 402.397.7989 view map
Bellevue Health Center 2206 Longo Dr. Suite 105 Bellevue, NE 68005-2977 Tel: 402.293.7980 view map	Council Bluffs Office 3434 West Broadway Suite 102 Council Bluffs, IA 51501 Tel: 712.325.0014 view map

www.adultpediatricuro.com