Caduceus


Patient Information






















Urology Health Quizzes - click here
Capital Urology, Inc.

Patient Forms
What to Bring to Your Appointment
Insurance and Payment Information
Hospital Affiliations
Notice of Privacy Practices

Patient Forms

Using the links below, you can download, print and complete the appropriate forms before your appointment.
[Need help opening/printing PDF forms?]

The following will be provided to all new patients:

What to Bring to Your Appointment

  • Your insurance card
  • Physician referral form, if required by your insurance provider
  • A list of medications, including the dose and frequency
  • Information about your medical and surgical history
  • Recent x-rays or other test results related to your condition

Insurance and Payment Information

Capital Urology, Inc., is a provider for Medicare and most major insurance plans, and provides insurance billing. You are responsible for charges that are not covered by your insurance, at the time of your appointment. Your insurance company may require a co-payment at the time of your appointment. When necessary, our staff will work with patients to set up a payment plan. If you have questions regarding billing or which insurance plans we accept, please call us at the phone number below. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.

Hospital Affiliations

  • Riverside Hospital - Columbus, OH
  • Mount Carmel St. Ann's - Westerville, Ohio
  • Mt. Carmel East Hospital - Columbus, OH
  • Knightsbridge Surgery Center - Columbus, OH
  • American Kidney Stone Management - Columbus, OH
  • Grant Hospital - Columbus, OH


Notice of Privacy Practices

Refer a Friend

Capital Urology, Inc.
Dr. Errol Singh
Dr. Kevin L.W. Banks

Main Office
3555 Olentangy River Rd.
Suite 1030
Columbus, OH 43214
Tel: 614-784-8765
Fax: 614-784-1153
click here for a map

Secondary Office
765 N. Hamilton Rd.
Suite 260
Gahanna, Ohio 43230
click here for a map