Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Advanced Urology Center for Robotic Surgery before sending sensitive documents. FaxFlow is not affiliated with this organization.
Advanced Urology Center for Robotic Surgery fax number
(910) 640-2829
New Patient Intake
Used for: New patient registration / intake form submission
Fax destination details
- Department
- New Patient Intake
- Purpose
- New patient registration / intake form submission
- Form
- New Patient Forms — New Patient Intake Form
- Address
- 144 Poole Rd Suite 102, Leland, NC 28451
- Voice phone
- 910-641-8650
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Fill out all sections; sign and date where required; authorize the release of medical information as needed; fax the completed form back to the number listed (910-640-2829).
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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