Department of Urology | Patient Forms

Welcome to the Urology Department! We want to make your appointment and visit as efficient as possible.

If your child has never been seen in our department before, or if it has been more than 3 years since they were last seen in Urology, please fill out the following form online prior to your visit. You will have an opportunity to review and change any of this information at the time of your appointment at the front desk. We appreciate your attention to providing this important data in advance of your appointment.

If your child has a new appointment with the Voiding Improvement Program (VIP) please fill out this questionnaire and diary in addition to the new patient paperwork. Bring all paperwork with you to your appointment.

Insurance prior authorization
If your insurance requires a prior authorization please call your child's primary care doctor to complete this before the appointment. If the authorization is not complete before your appointment you may be responsible for the full cost billed by the insurance company.

If you have any questions about your appointment please call us Monday-Friday from 8:30-5:30 pm excluding holidays or chat with us if you see the chat button on this screen. Our patient care representatives would be happy to help.