Patient Resources
Patient Resources
Our staff looks forward to meeting you and discussing your goals. We strive to keep our appointments on time as scheduled. Prior to your appointment, we encourage you to fill out the patient forms that are located on this website so you can accelerate your check-in process. Please download, print, and complete the forms and bring them with you to your appointment. If you are unable to download our patient forms, then it is recommended that you arrive at your appointment 15 – 30 minutes early so you can have ample time to fill out the appropriate forms.
General Intake Forms/ Formulario de Admision General
New Patient Med History
Click to fill out the
Telemedicine Consent Form
Click to fill out the
FORMULARIO DE ADMISION GENERAL
Actualizar Formulario de Historial Medico
Click to fill out the
Formulario de Consentimiento de Telemedicine
Click to fill out the
Hormone Management Forms
Male - AMS Eng/Esp
Click to fill out the
Female - MRS Eng/Esp
Click to fill out the
Urinary Symptoms Forms
Urinary Distress Inventory
Click to fill out the
Overactive Bladder Assessment
Click to fill out the
International Prostate Symptom Score
Click to fill out the
Formularios de Sintomas Urinarias
Inventario de Malestar Urinario
Click to fill out the
Evaluación de Vejiga Hiperactiva
Click to fill out the
Puntuación Internacional de Síntomas de Próstata
Click to fill out the
Sexual and Reproductive Symptoms Forms
Ejaculatory Dysfunction
Click to fill out the
Vasectomy
Click to fill out the
Sexual Health Inventory For Men
Click to fill out the
Female Sexual Function Index (FSFI)
Click to fill out the
Hypogonadism
Click to fill out the
Erectile Dysfunction Questionnaire
Click to fill out the
Peyronie’s Disease
Click to fill out the
Infertility
Click to fill out the
Formularios de Sintomas Sexuales y Reproductivos
Disfunción Eyaculatoria
Click to fill out the
Vasectomia
Click to fill out the
Inventario de Salud Sexual para Hombres
Click to fill out the
Índice de Función Sexual Femenina (FSFI)
Click to fill out the
Hipogonadismo
Click to fill out the
Disfunción Eréctil Cuestionario
Click to fill out the
Enfermedad de la Peyronie
Click to fill out the
Esterilidad
Click to fill out the
Misc. Complaints Forms
Testicular Pain
Click to fill out the
Fecal Incontinence Quality of Life Scale
Click to fill out the
Varios Formularios de Quejas
Dolor Testicular
Click to fill out the
Escala De Calidad De Vida De La Incontinencia Fecal
Click to fill out the