FOR PHYSICIANS

Thank you for choosing Urology Specialists of Ohio for your patients Urological needs. We are currently accepting new patients and look forward to serving your patients. To place a referral, please fill out the online form below. Alternatively, you may fill out the referral form in PDF or Excel format and fax them to our office (forms can be downloaded on this page). Please reach out to our office with any questions.

Doctor's REFERRAL Form

**please note that transfer of care must be approved by physician prior to visit.