Our goal is to provide you with outstanding urology care. Please fill out the following forms prior to your visit to help us take better care of you. Contact us with any questions you might have.
Please bring all information including past studies (ultrasounds, cat scans, MRI studies) as well as notes of surgeries, pathology results and physician care notes if you have seen urologists in the past. It would be preferable if you bring this information prior to your visit.
Please fill out the following forms. These forms can be filled-out on your computer and can be saved.
Note: If you are using Apple devices – do not fill it out in Safari browser. Save the form on your computer then open and fill it out.
- Past Medical Records Request – Release Authorization Form – fill out when you want your medical records sent from New York Urology Specialists to another entity.
AUA Urinary Symptom Score (IPSS) – used to evaluate and measure urinary symptoms
We offer affordable, highest-quality urology care with or without insurance. Find out our office hours or directions to our office. We offer weekday, weekend and evening office hours.