Patient Resources & Forms

We look forward to meeting you on your first visit to our office. During this time, we will help you get acquainted with our office and learn about your urology treatment. We understand that each patient’s treatment is different, and we promise to give you the personal attention you deserve. We also know that your time is a precious commodity, so we have our Patient Information and Office Policies forms here for you to download and complete for your first visit with our office.

Patient Visit Forms:

Patient Registration

Patient Registration (Spanish)

HIPPA Privacy

HIPPA Privacy (Spanish)

HIPPA Privacy Practices Release

HIPPA Privacy Practices Release (Spanish)

Male Patient History

Male Patient History (Spanish)

Female Patient History

Female Patient History (Spanish)

Patient Follow Up Form

Patient Follow Up Form (Spanish)