Patient Forms


Click on the links below to print out the patient registration form. Bring them with you to your appointment.

All new patients (excluding vasectomy patients) need to fill out form #1. Males only need to fill out #2.

NOTE: VASECTOMY PATIENTS ONLY NEED TO DOWNLOAD FROM THE VASECTOMY INFORMATION SECTION

Dr. Fishman’s New Patient Forms

Dr. Fishman–New Patient Encounter Form-# 1
Males only–Form #2

Vasectomy Information

Vasectomy Registration and Consent
Pre Vasectomy Summary
Pre Vasectomy Instructions
Post Vasectomy Instructions

Registration Forms—OLD VERSION

New Patient Registration–OLD VERSION

Medical Records Form

Release of Information Form

PROSTATE BIOPSY Instructions

Prostate Biopsy

Procedure Instructions

BCG Instillation
Cystoscopy
Kegel Exercises
Self Catheterization
Prostate Microwave (TUMT)
Uroflow

The forms are .pdf files and require Adobe Acrobat to view and print (download it for free).