Patient Forms, Map and Directions to Mansfield Office
Planning your first visit to Urology Associates of North Central Ohio? On this page, you'll find the information you need to get started, such as a map and directions to our Mansfield office. To save you time, we've also included our new patient forms, which you can print out and complete prior to visiting our office.
Our practice is working together to realize a shared vision of uncompromising excellence in urology.
To fulfill this mission, we are committed to:
- Listening to those we are privileged to serve.
- Earn the trust and respect of patients, professionals and community.
- Exceed your expectations.
- Ensure a creative, challenging and compassionate professional environment.
- Strive for continuous improvement at all levels.
- Deliver the most advanced urology treatment and diagnostics in the most efficient way possible.
Patient Forms and Payment Policies
For your convenience, our patient forms are located below. Please download, print and complete the following forms so we can expedite your first visit:
In order to view or print these forms you will need Adobe Acrobat Reader installed.
Click here to download it.
It is the policy of this office to collect all copyament and deductables at the time of service. We do accept cash, check, Mastercard, Visa and American Express.
We do accept new patients through self referral or referral through your physician. We do ask that you fill out the new patient packet of informatoin and email it to us as [email protected] , or mail it to us. Most new patient appointments are seen with a few days, or even the day of, the request. Of course, this depends on the nature and emergent nature of the problem.