Patient Resources

About Your Visit

At West Jefferson Urology Specialists, patient care is our number one priority. We'll work with you to schedule an appointment with the physician of your choice. If that physician isn't available, we'll suggest another qualified member of the group for you to consider.

When you call to schedule, please feel free to confidentially disclose the nature of your medical problem, so we can ensure enough time for your visit. To schedule an appointment online, please fill out one of the forms below.

When you come to the office, please bring the following information:

  • A list of medications you are currently taking
  • Any records or x-rays related to your problem from your primary care or referring physician
  • Any forms that were mailed to you by our office

New Customer Service - Online Bill Pay

Click HERE to pay your Urology bill Online !

Office Forms

New Patients

Existing Patients - forms coming soon

  • Medical Records Release
  • Office Policy
  • Surgery Consent

Questionnaires

Erectile Dysfunction Symptoms Questionnaire

 

Adobe Reader is needed to download the forms & questionnaires, click here to download for free if needed