Request an Appointment | Fore River Urology

Welcome to Fore River Urology. If you’re experiencing a urologic issue and would like to request an appointment directly, you’re in the right place.

Once we receive your completed form, a member of our team will reach out within 2 business days to schedule your visit. If you prefer to speak with someone, please call us at 207-518-6600.

Your information is confidential and protected under HIPAA. We will never share your data.

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Name *

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Date of Birth (DD/MM/YYYY) *

Phone (our team will contact this number) *

City, State, Zip Code *

Referring doctor’s name (if you have one) *

Specific Urologist Request (leave blank if no preference)

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Need help?

Call us at 207-518-6600 or visit our provider page to learn more about our team.

Thank you for choosing Fore River Urology.