Patient Forms

Vasectomy Public Statement

Vasectomy Notice Form

Vasectomy Patient Information

Vasectomy Patient Form

Vasectomy Consult

Vasectomy Packet

New Patient Appointment Packet

HIPAA Notice of Privacy

Financial Policy

Patient Registration Packet

IMS Urology New Patient Packet

TUMT Procedure Packet

Surgery Preparation Checklist

Public Statement Regarding Vasectomy & Prostate Cancer

Vasectomy Post Operative Instructions

Ureteroscopy and Stent Insertion Post Operative Instructions

Pubovaginal Sling Post Operative Repair

Prostatectomy Post Operative Instructions

ESWL Post Operative Instructions

Circumcision Post Operative Instructions

Kegel Exercise Instructions

Patient History and Physical Form

Patient Consent Form

Kidney Cancer and da Vinci Surgery

Authorization to Disclosure Health Information

General Pre Operative Instructions

Consent for Sterilization

Consent for Vasectomy

Clear Liquid Diet

Bowel Preparation

Acknowledgement of Receipt of Privacy Notice

Pyeloplasty and da Vinci Surgery

What we offer

Services

Our Locations

Choose your preferred location

13555 W. McDowell Rd. Suite 302, Goodyear, AZ 85395

623-299-7420

17560 N. 75th Ave. Suite 440, Glendale, AZ 85308

623-469-5403

1488 W. Elliot Rd, Gilbert, AZ 85233

623-469-5527

3815 E. Bell Rd. Suite 4200, Phoenix, AZ 85032

623-499-3473