New Patient Forms

TUCC looks forward to providing you with advanced urologic care. In order to ensure that your first visit runs smoothly, the TUCC website features patient registration and health history questionnaires.

Please click on a link below to download appropriate information to bring to your first appointment at TUCC.

Medical History (PDF File)

New Patient Form (PDF File)

New Patient Insurance Information (PDF File)

Pre-admission Patient Notification for the Urology Surgery Center of Colorado - English (PDF File)

Pre-admission Patient Notification for the Urology Surgery Center of Colorado - Spanish (PDF File)

TUCC will bill your insurance carrier(s) if we are contracted with them. We will also bill Medicare and Medicaid. If we are not contracted with your insurance we ask that you pay for your care at the time of service. We accept checks, cash, Visa, MasterCard, and Discover. If you have any questions about your bill please contact our billing office.

There is a possibility you will receive multiple bills from your treatment at TUCC including Colorado Imaging Associates which reads our x-rays, UniPath which reads our biopsy slides, the Urology Surgery Center (USCC) which is the ambulatory surgery facility in the building where we do our cystoscopies and surgeries, Physician Anesthesia Services which are the anesthesiologists in the surgery center, and outside hospital bills for any treatments we perform at these facilities. You may also receive a bill from LabCorp or Quest for labs we send out to be processed. If you have questions about the bills you may receive from these other providers, do not hesitate to call their billing offices.