Patient Forms

Using the links below, you can download and then print the necessary forms for your appointment. Please bring the completed forms to your appointment.

• Patient Registration Form
• Financial Policy Form
• Patient History Form
• Notice of Privacy Practices and Patient Consent Form
• Vasectomy Cancellation Policy Form

Articles of Interest

• No Needle Anesthesia for the Scalpel-Free Vasectomy
• BPH – Benign Prostatic Hypertrophy
• Kidney Stones

What to Bring to Your Appointment

• Your insurance card
• Physician referral forms, if required by insurance
• List of prescriptions and/or over-the-counter medication, including dose and frequency
• Information about your medical and surgical history
• Recent x-rays or relevant records