Downloadable Forms

Your First Visit

Welcome to our practice. The links below will open our new patient information packets. We also offer secure, online forms you can complete and return. Please contact our office to have a link to the secure forms option sent. In either case, returning your completed packet to our office prior to your visit will greatly decrease your wait and allow your provider more time to review your information prior to your appointment. Our male patients may fill out the Sexual Health Inventory for Men, if it applies.

Form Description Download
New Patient Information (Fillable)PDF icon  DOWNLOAD
New Patient Information (Printable)PDF icon  DOWNLOAD
Existing Patient Information (Fillable)PDF icon  DOWNLOAD
Existing Patient Information (Printable)PDF icon  DOWNLOAD
Release of Information FormPDF icon  DOWNLOAD
Care Provisions PoliciesPDF icon  DOWNLOAD
HIPAA Patient Privacy FormPDF icon  DOWNLOAD
Urine Specimen Drop-Off FormPDF icon  DOWNLOAD

Procedures, Conditions & Instructions

Certain Procedures require additional information for our patients.  Please refer to the following forms that detail your specific procedure and contact us with any questions.

Form Description Download
BalanitisPDF icon  DOWNLOAD
Bladder TumorPDF icon  DOWNLOAD
Blood Thinning MedicationsPDF icon  DOWNLOAD
Catheter Care InstructionPDF icon  DOWNLOAD
Catheter Removal InstructionsPDF icon  DOWNLOAD
Clean Intermittent Self-Catheterization (Female) PDF icon  DOWNLOAD
Clean Intermittent Self-Catheterization (Male) PDF icon  DOWNLOAD
Diet Clear Liquid PDF icon  DOWNLOAD
Diet Full Liquid PDF icon  DOWNLOAD
Diet Low Oxalate PDF icon  DOWNLOAD
Cystoscopy and Ureteroscopy PDF icon  DOWNLOAD
Home Care of Your Ureteral Stent PDF icon  DOWNLOAD
Hydrocele and Spermatocele Information PDF icon  DOWNLOAD
Hypospadias PDF icon  DOWNLOAD
Kegels How To Do Pelvic Muscle Exercises PDF icon  DOWNLOAD
Mitomycin-C Bladder InstillationPDF icon  DOWNLOAD
Neobladder Home Care Instructions PDF icon  DOWNLOAD
Penile Injection Information Sheet PDF icon  DOWNLOAD
Prostatitis PDF icon  DOWNLOAD
Suprapubic Catheter Home Care (SP Tube) PDF icon  DOWNLOAD
Undescended Testes (Cryptorchidism) PDF icon  DOWNLOAD
Prostatectomy Da Vinci Robotic PDF icon  DOWNLOAD
Prostatectomy Retropubic Radical PDF icon  DOWNLOAD
Prostate Ultrasound and Biopsy InstructionsPDF icon  DOWNLOAD

Post Operative Instructions

Many times after surgical procedures patients have a difficult time recalling the discussion of postoperative care. The following forms will help you with most of your concerns. Please feel free to contact us with any questions pertaining to your postoperative care.

Form Description Download
AdrenalectomyPDF icon  DOWNLOAD
Artificial Urinary Sphincter - Inflatable Penile ProsthesisPDF icon  DOWNLOAD
Bladder Suspension Post-Op PDF icon  DOWNLOAD
Circumcision Post-Op PDF icon  DOWNLOAD
Holmium Laser Enucleation of Prostate Post-Op PDF icon  DOWNLOAD
Nephrectomy and Renal Cryotherapy Post-Op PDF icon  DOWNLOAD
Male Sling PDF icon  DOWNLOAD
Male Sling for Incontinence PDF icon  DOWNLOAD
Nephrectomy Post-Op PDF icon  DOWNLOAD
Percutaneous Nephrolithotomy Post-Op PDF icon  DOWNLOAD
Prostate Ultrasound and Biopsy Instructions PDF icon  DOWNLOAD
Radical Cystectomy Post-Op PDF icon  DOWNLOAD
Robotic and Radical Prostatectomy Post-Op PDF icon  DOWNLOAD
Scrotal Surgeries: Orchiectomy, Hydrocele, Spermatocele and Varicocele Repair PDF icon  DOWNLOAD
Transurethral Resection of a Bladder Tumor Post-Op PDF icon  DOWNLOAD
Transurethral Resection of Prostate Post-Op PDF icon  DOWNLOAD
Vaginal Sling and TVT Post-Op PDF icon  DOWNLOAD
Vasectomy Post-Operative Instructions PDF icon  DOWNLOAD
Vasovasotomy (Vasectomy Reversal) Post-Op PDF icon  DOWNLOAD

Download Forms

Our forms are all presented in PDF format and can be viewed with the free Adobe Acrobat Software.

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Patient Survey

Patient Survey (PDF) »

Are you a patient? Please take our brief patient satisfaction survey. Make sure you click on the link to your provider. Your confidential answers will help us provide better service in a pleasant atmosphere. We value your feedback. Thank you for your participation.

Contact Information

Email Us »

Missoula Office
2875 Tina Ave., Ste 101
Missoula, MT 59808
P: 406-728-3366
F: 406-728-0651
Hours: 8am - 5pm (M-F)

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