Patient Resources
Links to medical forms and other information.
Patient Forms
New Patient Paperwork
Paperwork that all new patients to the practice will be required to fill out and submit. Obtain a copy here.
HIPAA Privacy and Release of Information Authorization
Consent to use and disclose your private health information. Obtain a copy here.
Assignment of Benefits - Payment Policy
Our payment policy and a document that allows us to charge for services rendered. Obtain a copy here.
Notice of Privacy Practices
Describes how medical information about you may be used and how you can get access to that information. Obtain a copy here.
Medical Records Release Form
When you want to get copies of your medical records. Obtain a form here.
SHIM Questionnaire
Your doctor will ask you to fill this out. Obtain a copy here.
IPSS-BPH Medication Survey
Your doctor will have you fill this out. Obtain a copy here.
10 Tips for a Healthy Prostate
For information purposes. Please consult your provider before trying any of these recommendations. Obtain a copy here.
About Our Services
Fusion Biopsy
Fusion guided prostate biopsy, which combines magnetic resonance imaging (MRI) with ultrasound, is a highly effective method for targeted biopsy of the prostate. Also known as a targeted MR/ultrasound biopsy, it provides a biopsy option for patients with continued elevated or rising PSA levels.
HIFU
REZUM
Rezūm Water Vapor Therapy is a short, in-office procedure that uses the natural energy stored in a few drops of water to help shrink the prostate. There are no incisions, no general anesthesia, and the procedure treats the source of Benign Prostatic Hyperplasia (BPH) – your enlarged prostate. Learn more about it here.
Cryosurgery
Cryotherapy or cryosurgery for prostate cancer freezes prostate tissue, causing cancer cells to die. As a minimally invasive procedure, cryotherapy for prostate cancer is sometimes used as an alternative to surgical removal of the prostate gland. Learn more about it here.
MALE VIP/MALE90X
Unlock the code to peak performance with Male VIP/MALE90X and regain your energy, focus and confidence. This can be accomplished through a combination of essential hormones, individual lifestyle strategies, powerful peptides, and state-of-the-art biometric tracking.
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