Patient Forms

Download Patient Forms

Before your appointment with us, quickly and conveniently access patient forms from our practice.

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.

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.

COVID-19 Updates from Urology Specialists

We now offer Telemedicine. Call us more for information and schedule a telehealth appointment today!

Because we care for patients who are considered high risk, we need your partnership to prevent the spread of illness.

In response to rising concerns with COVID-19, we are asking that you please reschedule your appointment if you have had close contact with a person who is under investigation/or laboratory confirmed for COVID-19  or if you are experiencing any of the following symptoms:

·         New onset fever 100.4 or greater

·         New onset cough in past 14 days

·         New onset shortness of breath

·         New onset sore throat

Please be advised that we do not test for COVID-19 in our office.

In addition, if you are in the high risk category (pregnancy,  heart disease, lung disease, diabetes, immunosuppressed, etc.), we understand if you wish to reschedule your appointment to a future date.

Thank you for your partnership in keeping our patients and staff healthy at Urology Specialists and Urology Specialists Surgery Center.

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