Department of Urology | Patient Forms

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Contact the Department of Urology

Welcome to the Urology Department! We want to make your appointment and visit as efficient as possible.

If your child has never been seen in our department before, or if it has been more than 3 years since they were last seen in Urology, please print and fill out the following forms and bring them with you on the day of your appointment to help expedite the check-in process.

If your child has a new appointment with the Voiding Improvement Program (VIP) please fill out this questionnaire and diary in addition to the new patient paperwork. Bring all paperwork with you to your appointment.

Insurance prior authorization
If your insurance requires a prior authorization please call your child's primary care doctor to complete this before the appointment. If the authorization is not complete before your appointment you may be responsible for the full cost billed by the insurance company.

If you have any questions about your appointment please call us Monday-Friday from 8:30-5:30 pm excluding holidays or chat with us if you see the chat button on this screen. Our patient care representatives would be happy to help.

The future of pediatrics will be forged by thinking differently, breaking paradigms and joining together in a shared vision of tackling the toughest challenges before us.”
- Sandra L. Fenwick, President and CEO

Boston Children's Hospital 300 Longwood Avenue, Boston, MA 02115 617-355-6000 | 800-355-7944