General

Patient Information Form
Medical History Form
Notice of Privacy Practices
Receipt of Notice of Privacy Practices
Dysfunctional Elimination Questionnaire

*To expedite your visit, please print and fill out the above forms prior to your appointment.

Post Operative Forms

Dr. Bruce Blyth

Care of a Child Following Surgery for a Ureteral Reimplantation
Care of a Child After a Urethromeatoplasty
Care of a Child After a Pyeloplasty
Care of a Child After Hypospadias Repair with a Drainage Tube
Care of a Child After Hypospadias Repair
Care of a Child After Circumcision/ Penoplasty/ Chordee Repair
Patient Information for Deflux Procedure
Care of a Child After an Undescended Testicle Repair
Care of a Child After a Hydrocele/ Inguinal Hernia Repair

Dr. Peter Furness

Care of a Child Following Surgery for a Hernia and Hydrocele Repair
Care of a Child After an Undescended Testicle Repair
Care of a Child After a Ureteral Reimplantation
Care of a Child After a Hypospadias Repair
Care of a Child After a Urethromeatoplasty
Care of a Child After a Pyeloplasty
Care of a Child After a Varicocele

Dr. Job Chacko

Care of a Child Following Surgery for a Hernia and Hydrocele Repair
Care of a Child After a Hypospadias Repair
Care of a Child After Circumcision
Care of a Child After a Urethromeatoplasty
Care of a Child After a Varicocele