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Patient Forms (pdfs)
Medical Info for Patients
Pediatric care with links
International Prostate Symptom Score (I-PSS)

Female Patient Voiding Assessment

History and Physical Examination

Patient Handout - Notice of Privacy (2014)

Authorization to Share Health Info (optional)

Electronic Prescription Request (2017)

Patient Demographic & Insurance Information (2017)

Receipt of Notice of Privacy Practices (2017)

Urology Center Financial Agreement (2017)

Urology Center Patient Responsibilities (2017)

Medical Records Release form (2017)



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