ED Questionnaire
It is common to develop erectile dysfunction and/or prolonged bladder health issues in association with other health conditions, as one ages, or following prostate cancer treatment. Complete both pages of this questionnaire to assess your sexual and bladder health. Treatment options are available to you, as needed.
We encourage you to download the questionnaire below, complete it as best you can and bring it to your initial consultation.
Frequently Asked Questions
How do I schedule an appointment at UrologyMax?
Schedule online or call 1-800-876-6299 or use our online booking. Same-day and telehealth appointments are available.
Does UrologyMax accept insurance?
UrologyMax works with most major insurance plans. Contact our billing team at 1-800-876-6299 to verify your coverage before your visit.
What should I bring to my first urology appointment?
Bring your insurance card, photo ID, medication list, prior test results, and a completed patient intake form available on our website.
Are telehealth consultations available?
Yes. UrologyMax offers telehealth consultations for many urological concerns, including ED prescriptions, follow-up visits, and second opinions.
What makes UrologyMax different from other urology practices?
UrologyMax combines advanced robotic surgery capabilities with discreet online ED medication ordering and a patient-first approach to comprehensive urological care.
