Online Forms

These pre-visit forms will help you consolidate your medical history in preparation for your visit to our office. Please print, fill out, and bring forms with you when visiting our office.

Note: Completing these forms WILL NOT retain any record of your personal information. It is designed solely for your convenience to help utilize your time with us most productively. You will need to make a copy or print a second copy if you want to keep a record of this information.

There are two forms of initial patient visits. One for Urodynamic testing appointments only, and one for New Patient Evaluation.

Dear Patient,

We are pleased to welcome you to our office for your upcoming urodynamics test. To ensure a smooth and efficient visit, we kindly ask you to review some important information and responsibilities:

1. Personal Hygiene: Please ensure you have good personal hygiene by taking a shower before your appointment.
2. Insurance Information: Bring your insurance card with you and make sure you understand your insurance coverage.
3. Referral Details: Be prepared to provide the name of the person who referred you to our practice and discuss your medical history and concerns.

We strive to provide the highest level of care and service. To help us achieve this, please note the following:

• Appointment Attendance: We schedule an hour with two technicians for your appointment. If you need to reschedule or cancel, please give us at least 24 hours' notice so that another patient can use the time slot.

We understand these reminders may seem basic, but they are essential for maintaining the quality of care we aim to provide. Unfortunately, we have had instances where these guidelines were not followed, leading to disruptions in service.

We look forward to meeting you and addressing your healthcare needs. Should you have any questions, please do not hesitate to call us.

Thank you for your cooperation.