Request an Appointment

Schedule a non-urgent appointment with one of our physicians.

Briefly describe why you want to be seen by a physician. If you would like to be seen by a specific physician, please choose one. Otherwise, leave that fields on “any” and we will get you the soonest appointment available. Appointment requests made on the weekends will be responded to within two business days the following week.

If you need to CANCEL an appointment, please call your physician’s office directly.

Please note: If you’re experiencing a medical emergency, please call 911.

First and Last Name(Required)

Phone(Required)

Email

Which Provider would you like to see?(Required)

Have you previously been seen by a physician from The Urology Group Central Indiana?(Required)

Yes

No

How can we help?(Required)