Patient Information
New Patients
You can save time by printing and completing the new patient paperwork prior to your first visit. Simply click on patient forms, print out, complete and hand in upon arrival. Otherwise, please allot 30-minutes prior to your appointment to allow for time to fill out the form in the office.
- New Gynecology Patient Form Packet (423.1 KB .pdf)
- New Medicare Gynecology Patient Form Packet (605.7 KB .pdf)
What to Bring
You will need to bring the following items to your visit:
- Insurance card(s)
- Driver's license or other photo identification
- List of current medications and dosages
- Any pertinent medical records or test results
- Co-payment
Privacy
Your privacy is considered a priority at the Florida Bladder Institute. Our procedures, policies and programs meet or exceed the HIPAA standards required for physician practices.
Billing and Payment Options
All billing questions should be directed to our Billing Department at 239-592-1388. The office is open Monday through Thursday from 9 a.m. - 4 p.m. and Friday from 9 a.m. - 1 p.m.
Insurance
Florida Bladder Institute accepts most private insurance plans and Medicare. Please familiarize yourself with the benefits and limitations of your policy since many insurance plans require authorization prior to certain procedures. Check your insurance plan for details.
You will be asked to provide your insurance card at the time of your visit. Your co-pay or payment is required at your appointment unless arrangements have been made in advance.
Medicare and most insurances are accepted including Blue Cross Blue Shield, Aetna, Cigna, United, and Humana.
Cancellation Policy
As a courtesy to other patients, we request office visit cancellations be called into the office at least 24 hours in advance. We will be happy to reschedule your appointment during regular business hours.
Emergencies
In the event of an emergency, there is a doctor available 24-hours a day. After office hours, your call will be routed to our answering service and the physician on call will be contacted.
If you have a life threatening emergency, call 911.
For non-emergency concerns, please call our office during regular business hours. The doctors and nurses will return your call as soon as possible. Unless you have an urgent issue, the majority of phone calls are returned at the end of the morning and at the end of the afternoon. Please leave numbers where you can be reached during these times.
Prescriptions
If you need a prescription refill, call our refill line at 239-592-1388. Please plan ahead and call a few days before you are completely out of your medication. If you have an appointment scheduled we will be glad to call in enough medication to cover you until that time.
Please be aware that Refills will not be issued over the weekend. Prescription refills may be denied if you have not kept scheduled appointments or we were not the prescribing doctors.
Hospital Privileges
Dr. Gauta is a member of the Medical Staffs of: NCH Health System, Naples Community Hospital - North Collier Hospital, Physician Regional Medical Center Pine Ridge, Physician Regional Medical Center Collier Hospital, and Naples Day Surgery Center.
More Resources
Call 239-449-7979 or Contact Us today!
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