These are documents - when you click on the form name, a new browser window will open, print the document, when you close this new window, you will see the list of forms again, please select the appropriate forms  - fill them out and bring them with you when you visit us!

If you do not have the "Adobe Reader" Click HERE to get it, it's free

New Patients forms:

* New Patient Information

* New Patient History

* Financial Policy (for all patients to sign)

* HIPAA Form (read and keep copy for your records)

* HIPPA Consent (sign acknowledging you have read the HIPPA form above)

* Consent for treatment

HCG patients

* New Patient History for Weight Loss clinic (weight loss clinic only)

* HCG Patient Disclosure (for weight loss clinic)

Other forms:

* AUA Symptoms (for male patients with Prostate Cancer)

* Patient Assessment (for women with voiding symptoms)

* Pain Questionnaire  (only for patients with interstitial cystitis or pelvic pain)

* Phone Consult Disclosure (sign and fax prior to phone consult)

* Metabolic Assessment

* Neurotransmitter assessment

* Sexual function assessment