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Urology Associates of Williamson County, PA
ADULT AND PEDIATRIC UROLOGY


FORMS FOR NEW PATIENTS

Male
  • Medical Questionnaire
        [Drs. Jacobson, Rutledge,
        Miller]
  • Medical Questionnaire-
        Espanol
        [Drs. Jacobson, Rutledge,
        Miller]
  • Urinary Symptom
        Questionnaire
  • Sexual Health Questionnaire
  • Patient Information
  • Release of Information
  • Prostate Health for Men
        Over 40
  • Female
  • Medical Questionnaire
        [Drs. Jacobson, Rutledge, Miller]
  • Medical Questionnaire-Espanol
        [Drs. Jacobson, Rutledge, Miller]
  • Bladder Health/Incontinence
        Questionnaire
  • Urinary Symptom
        Questionnaire
  • Patient Information
  • Pelvic Pain and Urgency
        Questionnaire
  • Release of Information

  • Welcome to Urology Associates! We value you as a patient and look forward to extending the best health and urologic care possible. To help us efficiently process your paperwork and make your visit a pleasant one, please download the New Patient Forms (Male or Female), fill them out, and bring them with you to your appointment.

    In addition, you will notice that we treat pediatric (children) as well as adult patients. These forms will need to be filled out by the parent and may include specific details about birth and infancy.

    We are pleased you have chosen to visit us. All of us at Urology Associates of Williamson County, PA will do all that we can to assure that you receive the best urological care. We have two offices for your convenience; one in Round Rock and another in Georgetown.

    At Urology Associates of Williamson, we treat both adult and pediatric urology patients. Our physicians emphasize sensitivity and discretion with your urological concerns and they use the latest in urological technology and innovations. We have advanced surgical facilities and specialize in kidney stone ablation, KTP-GreenLight PVP® procedures, prostate surgery, and treatments for urinary incontinence. We also perform vasectomies.



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    Urology Associates of Williamson County, PA
    Round Rock Office Main Office
    Oakwood Medical Park
    511 Oakwood Boulevard
    Suite 103
    Round Rock, TX 78681
    Tel: 512.244.0161
    Fax: 512.244.7814
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    Georgetown Medical Center
    2112 Scenic Drive
    Georgetown, TX 78626
    view map
    Georgetown Office