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Atlantic Urology Associates, P.C.
Center for No-Scalpel Vasectomy


What to Bring to the Appointment
Patient Forms
Insurance and Payment Information
Hospital Affiliations

What to Bring to the Appointment

  • Your insurance card
  • Physician referral forms if required by insurance
  • A list of current prescriptions and/or over-the-counter medications you are taking, including dose and frequency
  • Pertinent information about your medical and surgical history
  • Any recent x-rays or appropriate records you may have

Patient Forms

Please download and print the forms you will need for your appointment. Please complete it and bring it to your appointment. To begin downloading, click on the link below:
Download Patient Forms [PDF]
(PDF/printable page help)

Insurance and Payment Information

Jeffrey I. Silverstein, M.D., is a provider 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 the phone number below. Questions regarding your coverage and benefits should be directed to your employer or insurance company.

Hospital Affiliations

  • Riverview Medical Center, NJ
  • Robert Wood Johnson Med Center - UMDNJ



Refer a Friend

Atlantic Urology Associates, P.C.
Center for No-Scalpel Vasectomy

www.VasectomyNJ.com
Centramediplex Building
495 Iron Bridge Rd.
Suite 11
Freehold, New Jersey 07728
Tel: 732.683.1617
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Fax: 732.683.1619