Patient Resources

Patient Forms

Please download, print, and complete the following forms for preparation for your appointment.

HIPPA

The patient packet has information regarding your health information that describes how medical information about you may be used and disclosed and how you can get access to this information.

If you have any questions about this notice, please contact:

SMS MANAGEMENT PRIVACY OFFICER
Attn: DON DAVENPORT
2525 TELEPHONE ROAD
Pascagoula, MS 39567
228-875-3778

Visit Preparation

Please bring with you the following to your appointment:

  • Your insurance card
  • Physician referral forms
  • List of prescriptions and/or over-the-counter medication, including dose and frequency
  • Information about your medical and surgical history
  • Recent x-rays or CT scans (“imaging studies”) on a disk for review

Billing and Insurance

Our office contracts with most insurance companies. Your Insurance company provides you with proof of insurance that must be presented prior to all services. We bill all primary insurance plans for our patients. Payment for co-payments, deductibles, and payment for any non-covered service is required at the time of your visit. If you have no insurance, your account will be treated as a cash account and we will collect payment in full at the time of service.

Your individual insurance plan is an agreement between you and your insurance company. It is necessary for you to know the specific details of your plan. If your plan requires a referral for specialty services, it is especially important to notify us if there are restrictions on referrals to outside facilities for services. It is your responsibility to arrange for all appropriate referrals and authorizations required for insurance payment. You will be liable for all charges billed for outside providers if they are not contracted with your plan and you have not received the proper pre-authorization. It is your responsibility to know if your referral has expired and to obtain a new referral if needed.

 

Agreement/Terms of Use

By using this site, you agree that you understand and accept the terms listed above. If you do not agree to these terms, you may not use this site. Privacy as it applies to the Internet is a rapidly developing area. We reserve the right to change our privacy practices from time to time and will include any changes on this site.

Testimonials

What Our Clients Say

Both, Dr. Lyell and Dr. Spencer Jr., are very friendly. Also, the staff is very welcoming and the facility is very clean. I trust these doctors when it comes to finding answers and knowing what is best for me and even my family! Thank y'all so much.

— Amber G.
Patient

They were very professional with my husband and I. We have been needing answers for questions for over a year and we finally were able to find some answers here. The facility is very clean. The staff is very friendly.

— Brandy SM.
Patient

Contact us

Make an appointment and visit South Mississippi Urology, PLLC

Pascagoula Office

2525 Telephone Road
Pascagoula, MS 39567
Map & Directions [+]
Phone: (228) 769-2069

Ocean Springs Office

1124 Oakleigh Road
Ocean Springs, MS 39564
Map & Directions [+]
Phone: (228) 875-3778

Biloxi Regional Office

147 Reynoir Street, Suite 306
Biloxi, MS 39530
Map & Directions [+]
Phone: (228) 432-1116
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