Patient Forms

Pre-registration form: Please download and complete the following form and bring it with you on your first visit.

Our experienced specialists work together with you and your child's primary care provider to develop the best treatment plan. They provide consultations and ongoing care for children from birth to 18 years of age. If urology issues are identified before the birth of a child, they can also provide consultation and care before the baby is born.

The pediatric urology conditions we treat include:

  • Prenatal Diagnosis such as hydronephrosis and other developmental abnormalities of the kidney, bladder and urethra
  • Developmental abnormalities of the kidney such as duplex collecting system, ureteropelvic junction obstruction, ectopic ureter and ureterocele
  • Developmental abnormalities of the bladder such as exstrophy
  • Neurogenic bladder and other voiding issues associated with spinal cord abnormalities
  • Daytime and nighttime wetting and other functional voiding problems
  • Urinary tract infection and vesicoureteral reflux
  • Urethral abnormalities such as hypospadias, epispadias, posterior urethral valves and meatal stenosis
  • Male genital issues such as undescended testis, epididymitis, hernia, hydrocele, varicocele, phimosis and paraphimosis
  • Female genital issues such as Congenital Adrenal Hyperplasia (CAH) and vaginal agenesis

At Banner Children’s, we understand what interests kids, what frightens them and – most importantly – what helps them heal and stay healthy. From well-child exams to treatment of minor injuries and illnesses to management of chronic conditions, the experienced team at Banner Children’s is here to provide comprehensive, family-centered medical care for your child.

Banner Children’s provides more care for more kids than any other health system in Arizona. With pediatricians and specialists throughout the Phoenix-metro and Tucson areas, ten pediatric-prepared emergency rooms, Cardon Children’s Medical Center, Banner Thunderbird Medical Center and Diamond Children's Medical Center, you are only minutes away from top pediatric care.

Our pediatric-focused physicians and staff care for your child in our Banner Health centers and clinics, emergency rooms, hospitals and outpatient facilities to support the continuum of care your child needs when he needs it.