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

1.- New Patient Information

2.- New Patient History 

3.- New Patient History for Weight Loss clinic (weight loss clinic only)

4.- HCG Patient Disclosure (for weight loss clinic)

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

6.- Financial Policy (for all patients to sign)

7.- HIPPA (Please read this form and print page 3 - sign it and bring or fax to the Office)

8. -AUA Symptoms (for male patients with Prostate Cancer)
9.- Patient Assessment (for women with voiding symptoms)
10.-Pain Questionnaire  (only for patients with interstitial cystitis or pelvic pain)