Request an Appointment

Texas Urology Specialists offers a secure and easy way to request an appointment. We are located in the Houston, Dallas, Fort Worth, Austin, and Longview areas. Fill out the form below:

PATIENT & CAREGIVER INFORMATION

First Name *
Last Name *
Phone Number *
Email *
Zip Code *
Date of Birth *

PREFERENCES

Appointment Preference *
Physician Preference
Location Preference
Additional Comments