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Garland ~ Mesquite ~ Rockwall
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Drs. Webster, Goldstein, and Ware (left to right)

Patient Forms

Drs. Goldstein, Frost, Ware and Associates

Urology Specialists and Associates

New Patient Medical History & Information Form
New Patient Sexual Health Inventory for Men
New Patient AUA Symptom Index and Karnofsy Score
(Dr. Fulgham) New Patient Medical History Form

 

North Texas Pediatric Urology

New Patient Pediatric History Forms

Click here to download the following North Texas Pediatric Urology forms, new window will open:

  • New Patient Registration Form
  • Policy on Managed Care Insurance
  • Patient Responsibility Statement

Map to our office

 

Urology Associates

(Dr. Newman) Patient Interview Form (required for all new & follow up appointments)
(Dr. Newman) Patient Bladder Questionnaire (required for all new appointments)

 

 

 

You're In Control - an incontinence program

Sexual Health - a wellness program

Prostate Health - a wellness program

Kidney Health - a wellness program

     
     
         
  
     
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