Patient Information

Patient Instructions | Registration Form | Insurance
Initial Visit | Hospital Affiliations

 

Patient Education Videos from our Doctors 

Dr Kotha discusses PSA testing for prostate cancer 

Dr. Ahmed discusses robotic prostatectomy

Dr. Kotha discusses sexual function after prostate treatments


 

Patient Instructions

The following patient instruction/information sheets are available if you are receiving any of these treatments:

[ back to top ]

Registration Form

Please arrive 15 minutes early for your first appointment to allow time to complete our registration form. Or, you may print and complete the registration form in the convenience of your own home prior to your office visit. Click here to view and print the registration form.

Troubleshooting:
The Acrobat ReaderTM plug-in is required in order to access the online registration form. If you have not downloaded the Acrobat ReaderTM plug-in, a free version is available through the Adobe website.
[ back to top ]

Insurance

We accept most insurances including:

  • Medicare
  • Blue Cross/Blue Shield Products
  • Aetna
  • Cigna
  • Medicare "Advantage" Plans
  • HAP
  • AARP
  • Cofinity
  • NGS
  • United Healthcare
  • Auto/AAA
  • Workers Comp.
  • Priority
  • Humana
  • Total Healthcare
  • Tricare
  • Cash/Self Pay

While our physicians are providers for most major insurance programs, it is important to check your insurance providers list of participating physicians to be sure your program allows you to be seen at our office. Also please review with your insurance provider the rules and limitations on coverage and reimbursement. Our insurance team will verify your insurance prior to your appointment, and will collect any co-pays at the time of the visit. For patients who do not have insurance or have insurances that we do not participate with, an new office visit generally costs $150, and a follow up visit generally costs $60. Charges can go up based on the extent of services performed. Financial assistance and payment plans can be arranged.

You may also call our office at 734.595.1166 for more details.

[ back to top ]

Initial Visit

On your initial visit, please bring:

  • Your insurance card
  • Personal identification
  • List of allergies
  • List of current medications
    (prescription or over-the-counter)
  • including:
    • Name
    • Dosage
    • Frequency
  • Related X-rays
  • Records from the referring physician
Also, be prepared to share your medical history with our physicians, including any medical conditions you have or may have had in the past. [ back to top ]

Hospital Affiliations

Our primary hospitals are:

We also have privileges at:

  • St. Mary Hospital, Livonia, MI
  • Livingston Hospital
[ back to top ]

What's New

We will be implementing a patient portal soon where you can access all your office lab and radiology results and schedule appointments from the convenience of your computer. For now, you may request appointments by calling 734-595-1166 or by sending an email to contactus@
affiliatesinurology.com.

Please note email communication is not secure: Sensitive information and Medical Information should not be transmitted through this email)