Patient Forms & Policies

Before your appointment with us, quickly and conveniently access patient forms from Urology Specialists in Sioux Falls.

To view the forms listed below, you will need to download Adobe Reader. Please bring your completed forms with you to our office at the time of your visit.

Female Patients

Male Patients

Additional Forms (To be filled at the request of clinic staff)

Download Office Policies

Prescription Information

Prescription Refills:
We ask that you do not call the office with medication refill requests.  Please call your pharmacy to fax us a request. Our fax number is (605) 336-7182.

Nurse Questions:
Our nursing staff is available to answer your questions and address concerns Monday through Friday from 8:00 a.m. – 4:30 p.m.

Please leave your name, a phone number, and where you can be reached with the front office staff and a nurse will return your call.  All calls cannot be returned immediately, but will be responded to in a timely manner.  Messages received after 4:30 pm may not be returned until the next business day.

phone number

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COVID-19 Updates from Urology Specialists

At this time, in consideration of our high employee vaccination rate and current community transmission rates, masking is optional in our facility for fully vaccinated individuals. If you are unvaccinated or have any respiratory symptoms, please continue to mask.

Please continue to self-monitor and if you have symptoms consistent with COVID-19, please call our office in advance of your appointment.

If you would like your nursing staff to mask around you during your appointment, please let us know and we would be happy to comply to help you feel more comfortable during your visit.

Thank you for your continued partnership!

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