Combination-case coordination

Request urology support for a case

For UTMCK surgeons who need University Urology in a planned combination case. Tell us about the patient, the case, and when you'd like it - we'll confirm a surgeon and date.

Records stay in PowerChart - nothing is uploaded here About 3 minutes Routed straight to UU scheduling

Request received

University Urology scheduling has been notified. Keep your confirmation code for reference.

Confirmation

Watch for a confirmation email from admin@universityuro.com; check spam or junk if it does not arrive.
A scheduler will confirm the assigned urologist and date.
You'll be contacted at the callback number if anything is unclear.
No further action is needed unless the case details change.

Check status or request a change

Patient

Who the case is for. Records should already be in PowerChart.

First name*

First name is required.

Last name*

Last name is required.

Date of birth*

Required.

Status*

Required.

Medical record number*

MRN is required.

FIN number*

Enter the full numeric FIN: 10 digits if the leading zero is omitted, or 11 digits total.

OR room*

OR room is required.

Requesting provider

Who we contact to coordinate.

Requesting surgeon*

Requesting surgeon is required.

Service / departmentoptional

Scheduler or contactoptional

Callback numberoptional

Secure email*

Secure email is required.

Case & intervention

What's planned and what you need from urology.

Case planned by requesting surgeon*

Describe the planned case.

UU surgeon requested*

Select a urologist or no preference.

Case urgency

Estimated urology time

Required intervention by urologic surgeon*

Tell us what's needed from urology.

Discussed with requested urologist?

Discussion noteoptional

Scheduling

Pick a target date - use the assistant on the right to see availability.

Expected date of surgery*

Tap a colored day in the scheduling assistant to fill this automatically.

Choose an expected date.

Selected availability

Not selected yet

Add date flexibility optional - helps us fit you in

Alternate acceptable dates

Acceptable range - start

Acceptable range - end

OR schedule details time required

Posted room

Posted date

Posted time*

Posted time is required.

Records confirmation

Required before submission.

Patient records are available in PowerChartDo not upload records or imaging here. Use PowerChart for source clinical records.

Relevant PowerChart locationoptional

Fill the required fields to submit