The 5 patient forms below are for all first time Phoenix patients. To save time, print and fill out each form below in advance and bring to your first appointment.

• Patient Registration

• Patient Health History

• Patient Systems Review

• Patient Consent

• Medical Record Request

Notice of Privacy Practices

Our Notice of Privacy Practices describes how health information about you (as a patient of Phoenix Urology) may be used and disclosed, and how you can get access to your protected health information (PHI). Please review carefully.

• Notice of Privacy Practices

Patient Information

• Instructions for Transrectal Ultrasound and Biopsy of the Prostate

• Spermatoceles

• Vasectomy Consent and Discharge Instructions

  • Michael E. Aberger, M.D.

  • Mike Kozminski, M.D.

  • Bradley J. Moore, M.D.

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Mercury Surgery Center, LLC

Patient Rights

Our Notice of Patient Rights and Disclosure describe how health information about you (as a patient of Phoenix Urology) may be used and disclosed, and how you can get access to your protected health information (PHI). Please review each of these carefully.

• Notice of Patient Rights

• Notice of Patient Disclosure

Patient Information

• Incision care

• Discharge Instructions for

  • General, spinal or monitored care

  • For Cystoscopy, Pyelogram, and Stent Placement

  • Lithotripsy

  • Prostate Surgery

  • Pubo-Vaginal Slings

  • Vasectomy

• Post-Operative Instructions for P-V Sling, Foley Catheter Care and Incision Care

• Post-Operative Instructions for Prostate Surgery

• Following your prostate biopsy

• Following Urinary Procedure

• What to Expect from Your Prostate Surgery, TURP: Transurethral Resection of the Prostate

• Pediatric

  • Meatotomy

  • Orchiopexy

  • Circumcision