DOWNLOAD FORMS


 

Click to Download Registration Form

FORM PACKETS

Drs. Stranburg, Pitre, Lavelle, Myers - Adult Male
Drs. Stranburg, Pitre, Lavelle, Myers - Adult Female

Dr. Lowe - Adult Forms for Males
Dr. Lowe - Adult Forms for Females

Drs. Lashley, Hirselj, Bartholomew; PA-C. -       Pediatric Forms for Boys
Drs. Lashley, Hirselj, Bartholomew: PA-C. -       Pediatric Forms for Girls

 


Release of Info

MEDICAL RELEASE OF INFORMATION

Records to Northwest Urological Clinic-

Download Form here

Records from Northwest Urological Clinic-

Download Form here

 

 


 


HIPAA

HIPAA FORMS

(Notice of Privacy Practices & Acknowledgement and Consent)

 


NEEDLE BIOPSY PREP SHEET

 


VOIDING LOG

 

 




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