Urology of Virginia
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What to bring to your appointment

Your insurance card
Physician referral forms if required by insurance
A list of current prescription or over-the-counter medications you are taking, including dose and frequency
Pertinent information about your medical and surgical history
Any recent x-rays or appropriate records you may have

Forms for New Patients 
Questions to Ask Your Doctor

Access the Personal Electronic Medical Record of a Spouse or Parent
(Please note: You are required to complete and sign this form and give it to your physician practice.)

MyChart Proxy Request Form (PDF)




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