Preparation of Records for UAE - Five Things you need to do

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Preparation of Records for UAE

Five things you need to do before a UAE procedure
Scroll down to read an explanation of each item.
The Address to which these items should be sent is at the bottom of this page.

1. Insurance Pre-certification

It is necessary to obtain pre-certification for UAE (approval by your insurer to have the procedure done.) from your insurance company before proceeding.

Call Our Program Coordinator, at (888) 666-2002 to initiate the processing of your insurance claim, and to help you determine what your insurer will cover. If you have no insurance, or your policy does not cover UAE, Maria can also speak to you about setting up a payment plan.

1. Insurance Pre-certification
	It is necessary to obtain pre-certification for UAE (approval by your insurer to have the procedure done.) from your insurance company before proceeding. Call Our Program Coordinator, at (888) 666-2002 to initiate the processing of your insurance claim, and to help you determine what your insurer will cover. If you have no insurance, or your policy does not cover UAE, Maria can also speak to you about setting up a payment plan.

2. Prior Medical Records and Referrals
All Records (a) and Referrals (b) noted below will be available from your Gynecologist's office.

(a) Copies of Records
These include (but are not limited to):

Copy of your most recent pelvic examination
Most recent Pap Smear History
Pathology Reports from prior D&Cs or other pelvic surgery which your gynecologist believes are relevant
Operative reports from prior gynecologic procedures which your gynecologist believes are relevant
A copy of any Previous Pelvic Ultrasound reports; previous MRI reports
Any other records that your Gynecologist deems necessary

If you have significant medical problems, a report from your Internist with recommendations is also appropriate.

(b) Referrals

MRI - if you have not had a recent MRI, you may need a referral for this.
GYN "Second Opinion" - if your gynecologist is not a member of Northern Westchester Hospital staff, you will need a referral from your own gynecologist for this consultation..

2. **Prior Medical Records** and Referrals
All Records (a) and Referrals (b) noted below will be available from your Gynecologist's office.
	(a) Copies of Records These include (but are not limited to): Copy of your most recent pelvic examination Most recent Pap Smear History Pathology Reports from prior D&Cs or other pelvic surgery which your gynecologist believes are relevant Operative reports from prior gynecologic procedures which your gynecologist believes are relevant A copy of any Previous Pelvic Ultrasound reports; previous MRI reports Any other records that your Gynecologist deems necessary If you have significant medical problems, a report from your Internist with recommendations is also appropriate. (b) Referrals MRI - if you have not had a recent MRI, you may need a referral for this. GYN "Second Opinion" - if your gynecologist is not a member of Northern Westchester Hospital staff, you will need a referral from your own gynecologist for this consultation..

3. Gyn and Medical History Form
Click HERE to obtain your Gyn and Medical History Form

**3. Gyn and Medical History Form**
	Click HERE to obtain your Gyn and Medical History Form

4. Make an appointment for a consultation
with Dr. Forcade.

At that visit Dr. Forcade will review your history, discuss the procedure, and answer any questions specific to you. The consultation may include an appointment for an MRI if you have not had this examination recently.

To make this appointment call (888) 666-2002 and ask for
Program Coordinator
from 8 to 4 PM (EST), M-F.

4. Make an appointment for a consultation
with Dr. Forcade.
	At that visit Dr. Forcade will review your history, discuss the procedure, and answer any questions specific to you. The consultation may include an appointment for an MRI if you have not had this examination recently. To make this appointment call (888) 666-2002 and ask for Program Coordinator from 8 to 4 PM (EST), M-F.

5. Gynecologic Coverage while at NWH

You will need a Gynecologist for a "second opinion" and as a backup surgeon from our hospital staff.

If your gynecologist is on staff at our hospital, he/she will satisfy the requirement. Otherwise please select one of the following physicians and make an appointment for this "second opinion" at their office as soon as you learn the date of your procedure. (This referral should be made by your gynecologist.)

Joanne Kitain, MD
36 Smith Ave., Mt. Kisco, NY 10549
and
150 Purchase St., Rye, NY 10580
(914) 925-0553

The necessity to have a Gynecologist "On-Call"

For any questions related strictly to gynecologic matters, or should there be the need for surgical intervention - a gynecologist becomes an important part of the team. In the event a patient's own gynecologist is not on staff - we must involve one of our physicians. Frankly we have not had the need for any surgical intervention in over 250 cases thus far. However, safety at all times is a basic requirement during any procedure.

Once you have collected all the above documents
please Mail all information to

Attn:
Program Coordinator
at

UAE Unit, Department of Radiology
Northern Westchester Hospital
400 East Main Street, Mt. Kisco, NY 10549

Should you need HELP in obtaining the above information (or if you need clarification of any requirement), you may call
Our Program Coordinator, at

(888) 666-2002
from 8 to 4 PM (EST), M-F

	You will need a Gynecologist for a "second opinion" and as a backup surgeon from our hospital staff. If your gynecologist is on staff at our hospital, he/she will satisfy the requirement. Otherwise please select one of the following physicians and make an appointment for this "second opinion" at their office as soon as you learn the date of your procedure. (This referral should be made by your gynecologist.) Joanne Kitain, MD 36 Smith Ave., Mt. Kisco, NY 10549 and 150 Purchase St., Rye, NY 10580 (914) 925-0553
	The necessity to have a Gynecologist "On-Call" For any questions related strictly to gynecologic matters, or should there be the need for surgical intervention - a gynecologist becomes an important part of the team. In the event a patient's own gynecologist is not on staff - we must involve one of our physicians. Frankly we have not had the need for any surgical intervention in over 250 cases thus far. However, safety at all times is a basic requirement during any procedure.