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Forms

The 5 patient forms below are for all first-time Phoenix patients. To save time, print and fill out each form below in advance and bring it to your appointment.

Notice of Privacy Practices

Our Notice of Privacy Practices describes how health information about you (as a patient of Phoenix Urology) may be used and disclosed, and how you can access your protected health information (PHI). Please review carefully.

Patient Information

Mercury Surgery Center, LLC

Patient Rights

Our Notice of Patient Rights and Disclosure describes how health information about you (as a patient of Phoenix Urology) may be used and disclosed and how you can access your protected health information (PHI). Please review each of these carefully.

Patient Information

Request An Appointment

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