Request an Appointment

New or current patients, please either call us at your choice of location or complete the form below and press submit.

If you contact us during office hours we will either respond via phone that same day or on the next business day. Your contact information will be kept strictly confidential. If voicemail messages are left for you we will identify ourselves as calling from Minnesota Urology.

Name*
DOB*
Phone*
Email
Referring Doctor’s Name (if applicable)
What time between 8:00 AM and 4:30 PM would you prefer to be called?
If you have a preference of which doctor you'd like to see, please select his or her name
If you prefer a specific location, please make your selection
Comments
*Required