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Patient Resources


 

 

 

 


Visit Forms

The following files contain all forms that are requested of patients prior to an appointment with our practice. To ensure an efficient and patient-friendly admission process, we ask that each patient complete the forms appropriate for their scheduled visit in advance. 

The forms can be completed online and electronically submitted to our practice using the blue buttons below. The forms can also be printed and completed by hand using the white buttons below. 

In addition to these completed forms, please bring a copy of your most recent laboratory testing, including a PSA result for men, and/or any recent imaging study reports such as x-rays or CAT scans. Bringing these items with you to your visit will expedite your care and ensure tests are not repeated. If you plan to discuss incontinence symptoms with your provider, please complete the voiding diary form found below as well.  Lastly please arrive with a full bladder for a urine specimen.

 

 


Other Forms

American Urological Association (AUA) Symptom Index (Download PDF)

 

COMPLETE MEDICAL RECORDS RELEASE ONLINE

 

DOWNLOAD AND PRINT MEDICAL RECORDS RELEASE TO COMPLETE 

 

NOTICE OF PATIENTS RIGHTS & RESPONSIBILITIES
2019 ACR NOTICE
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