Download Patient Forms

Before your appointment with us, quickly and conveniently access patient forms from our practice.

To view the forms listed below, you will need to download Adobe Reader. Please bring your completed forms with you to our office at the time of your visit.

Billing & Insurance

I am a private pay patient. How do I get an estimate for the cost of my visit?

I am a private pay patient. How do I get an estimate for the cost of my visit?We can provide exact prices for procedures, but not for office visits as we cannot determine ahead of time what your individual visit with a physician will cover. We are happy to provide a general range for office visit costs based on our fee schedule. You will find our services competitive compared to other providers. We’ve partnered with health insurance companies to ensure an affordable option for health care and we encourage you to shop around.

I am a private pay patient. Will your billing office work with me?

Your health is extremely important and we are happy to develop a payment plan for you and your family. Please contact our billing office at 541-388-3863 during normal business hours and our staff will gladly assist you.

What health insurance do you accept?

As a service to you and our community, we are pleased to work with virtually every insurance company in the marketplace. Each insurance has different benefit obligations, our staff will help you understand what your plan may cover prior to any procedures.


Do I need an appointment for laboratory work?

No appointment needed. Within each of our Bend locations is a Laboratory. Hours are listed below.

Laboratory hours – Bend
8:00am to 5:00pm, Mon-Fri

Laboratory hours – Redmond
8:00am-5:00 pm, Mon-Fri

What is the Laboratory of choice for Urology Specialists of Oregon?

Interpath Laboratory

What is the phone number for laboratory billing?



Do I need a referral to be seen?

Yes. Most insurances require a referral from a primary care physician.

What is your fax number?

Make sure to dial a one when faxing. 1-541-278-8368

Where is my surgery center located?

We perform surgeries at the following locations:

Bend Surgery Center
1303 NE Cushing Dr. #200
Bend, OR 97701

Redmond Surgery Center
244 NW Kingwood Ave. Suite A
Redmond, OR 97756

St. Charles Medical Center (Bend)
2500 NE Neff Road
Bend, OR 97701

St. Charles Medical Center (Redmond)
211 NW Larch Ave.
Redmond, OR 97756