Patient Forms

Pre-Consultation Checklist

Pre-Consultation Checklist

History and Physical

History and Physical

AUA Symptom Score

AUA Symptom Score

ANESTHESIA Screening

ANESTHESIA Screening

Outside Medical Records Release

Outside Medical Records Release

Medical Records Release

Medical Records Release

eMail Consent Form

eMail Consent Form

Medications to Avoid

Medications to Avoid

Cutting Edge Brochure

Cutting Edge Brochure

RARP Brochure

RARP Brochure

Directions to UC Irvine

Directions to UC Irvine

Appointment Sheet

Appointment Sheet

Map to Pavillion 3

Map to Pavillion 3

Hotel Information

Hotel Information

Discount for Doubletree hotel

Discount for Doubletree hotel

ALO & Ayres Hotel

ALO & Ayres Hotel

Extended-Stay-Hotel

Extended Stay Hotel

Super-Shuttle-Fares

Super Shuttle Fares