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These are PDF 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 and print all the forms we have asked you to for, in the same manner - 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 Medical History
3 Financial Policy
4 AUA Symptoms (for male patients)
5 Patient Assessment (for women with voiding symptoms)
6 Pain Questionnaire  (only for patients with interstitial cystitis or pelvic pain)
7 HIPAA Form (Please read this form and print page 3 - sign it and bring to the Office)

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