New Patient Forms


To help you find our main office at the Bing Cancer Center at OhioHealth Riverside Methodist Hospital, please print out these handy directions and map. Patients seeing Dr.Patel at our office near OhioHealth Doctors Hospital can find also get directions to this West Broad Street location.

If you are a new patient, please print and complete all of the following patient forms and bring them with you to your first urology appointment. This will make your check-in process and visit with your urologist more efficient. Your answers may also offer information your physician needs to provide you with the best treatment.

General Patient Forms


Patient Forms for Specific Urologic Conditions

If you are seeing one of our urologists for one or more of the following problems, please also print and complete the appropriate questionnaires below about your symptoms:

Form to Refer a Patient:

If you are a physician and wish to refer a patient to Dr. Hedgepeth, Dr. Banks,  Dr. Lowe, Dr. Shah or Dr. Patel please use this Patient Referral Form.

Dr. Shah sees patients at OhioHealth Westerville Medical Campus and in Marion, Ohio. Click for map and directions.