What to Bring to Your Appointment
Your insurance card
Physician referral forms if required by insurance
A list of current prescription or over-the-counter medications you are taking
Pertinent information about your medical and surgical history
Your co-pay (if applicable)
Any recent x-rays or appropriate records you may have
Patient Forms
In order to save time at your first visit, please print and complete the following forms. These forms will help the staff and doctor to serve you more efficiently.
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. The forms may appear slightly blurry on the screen; this is normal, and they will print clearly.
Payment and Insurance Information
Dr. Tertzakian, Dr. Greenberger, and Dr. Pearce are providers for Medicare and most major insurance plans. We provide insurance billing. Anything not covered by insurance will be your responsibility.
We request payment at the time of your appointment for services that are not covered by insurance. Your insurance company may also require you to pay a co-payment at the time of your appointment. When necessary, our staff will work closely with patients who require a payment plan.
If you have any questions regarding which insurance plans we accept or any patient billing concerns, please call us at 714-639-1915. Questions regarding your coverage and benefits should be directed to your employer or insurance company.
Doctors with expertise in incontinence, bladder suspension ("bladder lift") and sling procedures, kidney stones, no needle no scalpel vasectomy, vasectomy reversal, laparoscopy and laparoscopic kidney and prostate surgery, prostate diseases including cancer and enlarged prostate, cryoablation (or cryotherapy) of prostate and kidney, robotic (da Vinci) prostate surgery
Adult and pediatric urology, urologic surgery, in Orange County California
Serving Orange, Tustin, Irvine, Santa Ana and Garden Grove
