Skip to main content
Skip to footer
(513) 841-7400
Online Bill Pay
Patient Portal
Request an Appointment
Search for:
Conditions & Treatments
Care Areas
Bladder & Incontinence Issues
Kidney Issues
Men’s Urinary & Sexual Health
Prostate Issues
Urinary Cancers
Women’s Urinary & Sexual Health
Common Conditions
BPH – Enlarged Prostate
Erectile Dysfunction
Female Incontinence
Kidney Stones
Low Testosterone
Male Incontinence
Overactive Bladder
Prostate Cancer
View All Conditions
Specialty Treatments
Adaptive Radiation Therapy
Aquablation Therapy for BPH
Lithotripsy
Low-Intensity Shockwave Therapy
UroLift for BPH
Vasectomy
View All Specialty Treatments
Services
Advanced Prostate Cancer Clinic
Bladder Control Center
BPH Clinic
Imaging Center
Interventional Radiology
Laboratory
Pharmacy at The Urology Group
PSMA PET/CT Scan
Medical Team
Physicians
Nurse Practitioners and Physician Assistants
Pharmacists
Patient Navigators
Thank a Team Member
Your Opinion Matters
Locations
Patient Resources
Patient Resources
Events and Webinars
Blog
Pharmacy
Chronic Care Management
Prostate Cancer Advocacy and Support
Genetic Testing
Newsletters
Videos
Patient Stories
Research and Clinical Trials
Financial Resources
Online Bill Pay
Billing Policies
Billing Disclosures
Missed Appointment Policy
Medical Records
Request Your Medical Records
Provider Medical Records Request
Patient Forms
Welcome Packet
Registration Form
Notice of Privacy Practices
Research Information Form
Nursing Home Welcome Packet
View All Patient Forms
About Us
About The Urology Group
Our Leadership
Careers
News
Media Contacts
Conditions & Treatments
Care Areas
Bladder & Incontinence Issues
Kidney Issues
Men’s Urinary & Sexual Health
Prostate Issues
Urinary Cancers
Women’s Urinary & Sexual Health
Common Conditions
BPH – Enlarged Prostate
Erectile Dysfunction
Female Incontinence
Kidney Stones
Low Testosterone
Male Incontinence
Overactive Bladder
Prostate Cancer
View All Conditions
Specialty Treatments
Adaptive Radiation Therapy
Aquablation Therapy for BPH
Lithotripsy
Low-Intensity Shockwave Therapy
UroLift for BPH
Vasectomy
View All Specialty Treatments
Services
Advanced Prostate Cancer Clinic
Bladder Control Center
BPH Clinic
Imaging Center
Interventional Radiology
Laboratory
Pharmacy at The Urology Group
PSMA PET/CT Scan
Medical Team
Physicians
Nurse Practitioners and Physician Assistants
Pharmacists
Patient Navigators
Thank a Team Member
Your Opinion Matters
Locations
Patient Resources
Patient Resources
Events and Webinars
Blog
Pharmacy
Chronic Care Management
Prostate Cancer Advocacy and Support
Genetic Testing
Newsletters
Videos
Patient Stories
Research and Clinical Trials
Financial Resources
Online Bill Pay
Billing Policies
Billing Disclosures
Missed Appointment Policy
Medical Records
Request Your Medical Records
Provider Medical Records Request
Patient Forms
Welcome Packet
Registration Form
Notice of Privacy Practices
Research Information Form
Nursing Home Welcome Packet
View All Patient Forms
About Us
About The Urology Group
Our Leadership
Careers
News
Media Contacts
Genetic Testing Consent Form
Download PDF
Print PDF
Genetic-Testing-Form
Request An Appointment
"
*
" indicates required fields
First Name
*
Last Name
*
Date of Birth
*
Your City
*
Phone Number
*
Your Email
*
Are you a new patient?
*
Yes
No
Preferred Appointment Date
*
Preferred Appointment Time
*
Comments
Email
Schedule Appointment
Conditions & Treatments
Services
Advanced Prostate Cancer Clinic
Bladder Control Center
BPH Clinic
Imaging Center
Interventional Radiology
Laboratory
Pharmacy at The Urology Group
PSMA PET/CT Scan
Medical Team
Physicians
Nurse Practitioners and Physician Assistants
Pharmacists
Patient Navigators
Thank a Team Member
Your Opinion Matters
Locations
Patient Resources
About Us
About The Urology Group
Our Leadership
Careers
News
Media Contacts
Patient Portal
Online Bill Pay
