For Your Visit

There are several items that you should have readily available for your visit.

These items include the following:

• Insurance card
• Physician referral forms (if required by insurance)
• A list of current prescription 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/Insurance Questionnaire (pdf file)
• Medical History Questionnaire (pdf file)
• Sexual Health Inventory for Men (pdf file)
• Payment and Insurance Information

Payment and Insurance Information
Fred Grossman, M.D. is a provider for Medicare and most major insurance plans. We provide insurance billing. Anything that is not covered by insurance will be the responsibility of the patient.

We request payment at the time of your appointment for any services that are not covered by insurance or subject to deductibles. 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 (303) 825-5151. Questions regarding your coverage and benefits should be directed to your employer or insurance company.

Useful Information

• Welcome letter (pdf)
• Patient history questionnaire (pdf)
• Impotence Information Booklet (pdf)