In order to help reduce wait time for your appointment the following forms are available for download and should be printed, filled out, and returned at the time of your initial visit.  If you are unable to view the following documents you will need to click here to download Adobe.

Forms

1. •   Patient History Form
   

2. •   Patient Information Form
   

3. •   Patient Financial Policy
   

4. •   International Prostate Symptom Score
   

5. •   International Index of Erectile Function
   

6. •   Voiding Diary
   

7. •   Expanded Voiding Diary
   

Patient Information

1. •   The Stone Diet
   

2. •   Bowel Cleanout
   

3. •   Cystoscopy
   

4. •   Information Following Vasectomy
   

5. •   Robotic Prostatectomy Instruction Sheet
   

6. •   Notice of Privacy Practices
   

7. •   Health Fair poster  
   

8. •   www.arprostatecancer.org
   

9. •   Pigskins and Prostates
   

   

Hours 8am-5pm Monday thru Friday

Call (479) 521-8980 for an Appointment

Copyright © 2007 NWA Urology Associates All rights reserved.