Terms of Use
Disclaimer
By agreeing to the terms of our secure forms, you will enter a secure area of our web site. Arizona Urology, The Urology Division of Integrated Medical Services (IMS) and will not be held responsible in the event your electronic message is not transmitted due to technical problems related to this site or to the hosting server. All personal identifying information is encrypted and stored in a secured database. All online form submissions and information collected are deleted every 10 days for our database. Your message will not be internally or externally forwarded to other third parties.
The information will solely be used by Arizona Urology, The Urology Division of Integrated Medical Services (IMS) for processing your request. Your request will be processed within 48 hrs hours, during normal business hours, Monday - Friday, 8:00 am - 5:00 pm, excluding holidays.
By clicking "Agree" next the respective online form you are agreeing to this Disclaimer, Our Terms of Use and Our Privacy Policy. After you click "Agree" to next to the respective form you will directed to the online form. If you do not accept the terms of this Disclaimer, you will not be able to submit your request online.
You can visit our detailed Privacy Policy and Terms of Use for more information. If you have any questions regarding the use of these forms, please contact our office during normal business hours.
| Appointment Request | AGREE |
| Patient Referral | AGREE |
