If you are a new patient or have not visited us within the last two years, please complete the following forms and bring them to your appointment.

• Patient Registration/Encounter Form / Forma Para El Encuentro Medico 
• Medical History Form / Forma Historial Medico
• Urinary Symptom Screener / Evaluacion de Sintomas Urinarios
• HIPAA Consent Form / Forma Consentimiento HIPAA 
  Review our HIPAA Privacy Policy / Poliza de Privacidad de HIPAA.
• Financial Policy / Poliza Financiera

• Completed Patient Forms
• Insurance Card(s)
• HMO Referral (if applicable)
• Payment Method (cash, check or major credit card)
• Relevant Lab Reports (PSA, semen analysis, urine culture, etc.) that are not already on file at Urology San Antonio
• Abdomen and pelvis X-rays, CT scans, MRIs that are not already on file at Urology San Antonio