Before your appointment:

If you are a new patient or have not visited us within the last year, please complete the following forms and mail them to your urologist's clinic location at least one week prior to your appointment. (If your appointment is less than one week away, you may fax these documents to your doctor's office, carry them with you to your appointment or fill them online to submit them electronically below.)

All Other Patients

For all patients please click below link to fill out forms online:

Printable forms

Please have these forms with you when you come in for your appointment.

Appointment Checklist

Please bring the following items with you to your appointment.

  • Completed Patient Forms (if you were unable to mail or fax them in advance)
  • List of all medications and their dosage
  • Insurance Card(s)
  • Payment Method (cash, check or major credit card)
  • Relevant Lab Reports (P.S.A, semen analysis, urine culture, etc.) if not already on file at HMU
  • Abdomen and pelvis X-rays, CT scans, and/or MRIs that are not already on file at HMU
  • Pharmacy Name
  • Pharmacy Location (Address)
  • Pharmacy Number
  • Pharmacy Fax Number