Patient Forms
As a convenience to you, and to help make your appointment more timely and efficient, please download, print-out, complete the forms in the list below, and bring them with you to your appointment.
It is important that you complete each form as thoroughly as possible.
New Patient Forms — Complete Package
If you are a new patient, download this package which contains all required forms. Use this if you are new
Other Forms
CT Questionnaire / Patient History
Use this form if you are a doctor or medical technician and are providing information related to a patient’s CT
No Surprises Act: Good Faith Estimate Requirements
The No Surprises Act imposes numerous requirements on healthcare facilities and other providers regarding protections against surprise billings. Please review
Robotic Assisted Prostatectomy FAQ
Robotic Assisted Prostatectomy Day of Surgery-Frequently Asked Questions
Robotic Assisted Prostatectomy Post-Operative Instructions
Post-operative information that addresses common questions and concerns. Please review the following prior to surgery.
Robotic Assisted Prostatectomy Pre-Operative Instructions
Robot-Assisted Prostatectomy Pre-Operative Instructions with information starting a week prior to your surgery.
English
Notice of Privacy Practices
This Notice of Privacy Practices explains how your medical information may be used and disclosed, as well as your rights
Spanish
Notice of Privacy Practices
This Notice of Privacy Practices explains how your medical information may be used and disclosed, as well as your rights
