When you call Urology Associates to schedule an appointment. We’ll work with you to schedule an appointment with the physician of your choice. If that physician is not available, we’ll be happy to suggest another qualified partner of the practice for you to consider.

When you arrive at the office, please bring the following information:

• New Patient Registration Form
• Patient Evaluation Form
• List of current medications
• Any medical records or x-rays related to your condition
• Insurance card(s)
• Insurance referral if required by your plan.

If you are being seen for a infertility issue, please also complete the Infertility Evaulation

Our office will call to confirm your appointment at least 2 days prior to your appointment. We ask that you please provide 24 hours notice if you are unable to keep you’re appointment.

All of these form’s our located on our website. Please print out, complete, and bring these forms to your appointment.

Adobe Acrobat Reader is required to utilize our online forms. If you do not already have it installed on your system, you can download it by clicking on the provided link.

Patient Registration Form

Infertility Evaluation
 
Patient Evaluation Form : Adult
 
Patient Evaluation Form : Child
   















 
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