BPH – Schedule an Appointment BPH is easy to screen and easy to fix, fill out the form below to schedule your BPH screening today.Name* First Last Address* Street Address City State / Province / Region ZIP / Postal Code Phone*Email* Date of Birth*Optimal Days*Please indicate best time(s) to meet your schedule Monday Tuesday Wednesday Thursday Friday Location*Please choose the best location(s) for your appointment. New Lenox Joliet Morris Please provide us with your insurance information.Insurance Carrier:Insurance ID Number:Insurance Group Number:How have you heard about Advanced Urology Associates?*Please check all that apply. Facebook Twitter Radio Website/Online Ad Print (poster, magazine, brochure or newspaper) Doctor referral From a friend or family member Billboard CAPTCHA BPHBPH Center of Excellence What is BPH? Signs and Symptoms of BPH Screening for BPH Treatment Options for BPH Prostate Health
