Note: The forms and information sheets listed below are provided in PDF format and require Adobe Acrobat Reader to view. If you do not have this software, go to get.adobe.com/reader to download it for free.

New Patient Forms
Please download and print the form that corresponds with the physician you will be seeing. Fill out the forms and then bring the completed form with you to your next appointment:

• Patient Information and History for Dr. Tan (50 kb PDF)
• Patient Information and History for Dr. Pareek (32 kb PDF)
• Patient History for Other Urology Team Members (13 kb PDF)
• Patient Information for Other Urology Team Members (13 kb PDF)

Patient Information Sheets
You may find the following informational sheets helpful. Please contact our office at 607.763.8101 if you need additional explanation about the following procedures or treatments.

• Androgen Deficiency-Male (12 kb PDF)
• Circumcision Procedure (17 kb PDF)
• Cyroablation (15 kb PDF)
• Cystoscopy (15 kb PDF)
• ESWL (15b kb PDF)
• Hydrocelectomy (17 kb PDF)
• Nephroureterectomy (16 kb PDF)
• Optical Internal Urethrotomy (13 kb PDF)
• Orchidopexy (17 kb PDF)
• Orchiectomy (16 kb PDF)
• Percutaneous Nephrolithotomy (17 kb PDF)
• PVP or Photo Vaporization of the Prostate (15 kb PDF)
• Sex Function Survey (19 kb PDF)
• Sexual Inventory-Male (13 kb PDF)
• Transurethral Resection (16 kb PDF)
• Ureteroscopy (15 kb PDF)