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At Associates in Urology we want to provide you with the best medical care available. To help us do so, prior to your examination, we would appreciate your completing some forms concerning personal/medical history and insurance information.
Before coming for a visit you may be requested to fill out these forms. While these forms are available to you while you wait for your appointment, filling them out beforehand will expedite your visit.
Click on the printer icon 
or link for a printer friendly version of the page that you can print and
then fill out. Do not e-mail your information to Associates in Urology as
e-mail is insecure and your privacy and confidentiality is important to
us.
Please
Read the Following Prior to Visiting Our Office
If you decide to come for an appointment at our office, please first
print and then fill out the Patient Information Form and the Patient
Questionnaire. Bring the completed forms to your appointment. This
will significantly reduce your waiting time at your first visit.
Patient Information Form
General Patient Information—Contact and Insurance Information
Patient Questionnaire
Your medical history to help our doctors best help you
Disclosure of Information Form
Notice of Privacy Practices Form