Medical Specialties

Contact Us - Urology

 

For scheduling and new patients

Call for an appointment:

(602) 279-1697

(602) 264-0461  (fax)

Our Locations

Phoenix Children's Campus 
1920 E. Cambridge Ave. #302  Phoenix, AZ 85006 |  Map

East Valley Office 
1432 S. Dobson Rd. #401  Mesa, AZ 85202 |  Map 

West Valley Office 
5605 W. Eugie Ave. #210  Glendale, AZ 85304 |  Map

North Office - Kids Clinic 
9003 E. Shea Blvd. Scottsdale, AZ 85260 |  Map

Forms to Complete Before Your Visit

Download a new patient information form - English. (PDF)

Download a new patient information form - Spanish. (PDF)

Download the patient history form (English/Spanish). (PDF) 

 

Note:  Due to the nature of our practice, our physicians routinely perform complete physical examinations, including genital exams.  A parent or legal guardian must be present at all office visits.

Relatives, caregivers, and friends may accompany your child to an office visit with a notarized Medical Power of Attorney. Handwritten notes will not be accepted.

Medical Records Release

To protect your family's privacy, we require a signed Medical Records Release form each time you request a copy of your child's medical records.

 

Medical Records Release forms may be faxed to (602) 264-0461, mailed to 1920 E. Cambridge Ave. #302, Phoenix, AZ 85006, or hand delivered to any of our four locations.

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