The image shows a man and a woman in professional attire, possibly in a medical or dental setting, with the man seated at a desk and the woman standing beside him.

New Patients

Thank you for choosing Urology Specialists of Ohio for your urological needs. To ensure we can provide you with the best care possible, please review the following checklist and prepare accordingly for your first appointment:


Paperwork:

Fill out the necessary forms prior to your appointment. You should complete these electronically for convenience. If not completed beforehand, please arrive 15 minutes early to complete them at our office.


Identification and Insurance:

Bring a valid form of identification with your current address.

Have your insurance card ready. Without proper identification and insurance, we may need to reschedule your appointment.


Required Documents:

Complete the Information Sheet and History Sheet.

Sign and date our Financial Policy and Privacy Policy forms. These should be completed electronically before your appointment.


Financial Responsibilities:

Be prepared to pay your co-pay and any deductible that applies. We accept cash, check, VISA, MasterCard, Discover, American Express, or debit card. Payments can also be made electronically or via our online payment portal.

If you are self-paying, please be ready to settle 100% of your account balance.


Additional Requirements:

Provide your social security number for identity verification.

If your photo ID does not show your current address, bring a utility bill or similar correspondence.


Insurance Details:

If you have insurance that wasn't previously reported to us, please inform us before your appointment.


Referral (if required):

Ensure you have obtained a referral from your primary care physician if mandated by your insurance company. We must receive it before your visit to facilitate your consultation.


Appointment Timing:

Arrive on time for your appointment to avoid potential rescheduling.


Appointment Changes:

If you cannot attend your appointment, please notify us promptly.


Please feel free to contact our office with any questions or concerns. We look forward to seeing you at Urology Specialists of Ohio and providing you with excellent care. If you have any question, please feel free to call or message us.

Thank You,
Urology Specialists of Ohio

Urology Specialists of Ohio has been an integral part of the community for more than 20 years, and currently serves Springfield, Beavercreek, Xenia, Dayton, and Urbana striving to improve patient care, with excellence in all areas of Urology.

Schedule a visit today!
Contact Us
Submit

Thank You!

We appreciate you taking the time to visit our site. We'll review your message and be in touch with you soon.

Continue
An image of a modern, well-lit home office with a desk, chair, computer monitor, and a window with white blinds.

Get in Touch

Phone:

(937) 247-6616

Fax:

(937) 342-9262

Hours of Operation

Monday
8:00 am - 4:30 pm
Tuesday
8:00 am - 4:30 pm
Wednesday
8:00 am - 4:30 pm
Thursday
8:00 am - 4:30 pm
Friday
8:00 am - 4:30 pm