[et_pb_section fb_built=”1″ _builder_version=”4.16″ use_background_color_gradient=”on” background_color_gradient_direction=”239deg” background_color_gradient_stops=”rgba(76,101,158,0.11) 0%|rgba(76,101,158,0.37) 100%” background_color_gradient_overlays_image=”on” background_color_gradient_start=”rgba(76,101,158,0.11)” background_color_gradient_end=”rgba(76,101,158,0.37)” background_image=”https:\/\/www.urologycenterpc.com\/wp-content\/uploads\/2019\/01\/Home-Header.jpg” custom_padding=”6%||6%||true” da_disable_devices=”off|off|off” global_colors_info=”{}” da_is_popup=”off” da_exit_intent=”off” da_has_close=”on” da_alt_close=”off” da_dark_close=”off” da_not_modal=”on” da_is_singular=”off” da_with_loader=”off” da_has_shadow=”on”][et_pb_row _builder_version=”4.16″ global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.16″ header_font=”Playfair Display||||||||” header_text_align=”center” header_text_color=”#ffffff” header_font_size=”84px” header_font_size_tablet=”70px” header_font_size_phone=”50px” header_font_size_last_edited=”on|phone” header_text_shadow_style=”preset3″ global_colors_info=”{}”]<\/p>\n
[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ admin_label=”Our Specialties Section” _builder_version=”4.16″ custom_padding=”79px|0|0||false|false” da_disable_devices=”off|off|off” collapsed=”off” global_colors_info=”{}” da_is_popup=”off” da_exit_intent=”off” da_has_close=”on” da_alt_close=”off” da_dark_close=”off” da_not_modal=”on” da_is_singular=”off” da_with_loader=”off” da_has_shadow=”on”][et_pb_row _builder_version=”4.16″ custom_padding=”19px|0px|0|0px|false|false” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.16″ text_font=”Open Sans|700|||||||” text_text_color=”#4c659e” text_font_size=”28px” text_line_height=”1.2em” custom_margin=”|||” custom_margin_tablet=”” custom_margin_phone=”” custom_margin_last_edited=”on|phone” global_colors_info=”{}”]<\/p>\n
Patient Forms<\/p>\n
[\/et_pb_text][et_pb_text _builder_version=”4.16″ text_font=”Open Sans||||||||” ul_font=”Open Sans||||||||” ul_text_color=”#4d4d4d” ul_line_height=”2em” header_font=”||||||||” custom_margin=”|||” global_colors_info=”{}”]<\/p>\n
<\/a>We are pleased to offer you the opportunity to complete the forms on your computer (you can type directly onto the form), then PRINT THE COMPLETED FORMS and bring them with you to your appointment to help reduce your waiting time.<\/p>\n If you have any questions about these forms, please contact us at the practice directly.<\/p>\n [\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_3,1_3,1_3″ _builder_version=”4.16″ custom_margin=”30px||100px” custom_padding=”|0px||0px|false|false” global_colors_info=”{}”][et_pb_column type=”1_3″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.16″ text_font=”Open Sans|700|||||||” text_text_color=”#4c659e” text_font_size=”18px” text_line_height=”1.2em” link_font=”Open Sans|700|||||||” link_text_color=”#4c659e” link_line_height=”1.2em” custom_margin=”|||” custom_margin_tablet=”” custom_margin_phone=”” custom_margin_last_edited=”on|phone” global_colors_info=”{}”]<\/p>\n [\/et_pb_text][et_pb_text admin_label=”Text” _builder_version=”4.27.2″ text_font=”Open Sans|700|||||||” text_text_color=”#4c659e” text_font_size=”18px” text_line_height=”1.2em” link_font=”Open Sans|700|||||||” link_text_color=”#4c659e” link_line_height=”1.2em” custom_margin=”|||” custom_margin_tablet=”” custom_margin_phone=”” custom_margin_last_edited=”on|phone” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″]<\/p>\n [\/et_pb_text][et_pb_text admin_label=”Text” _builder_version=”4.16″ text_font=”Open Sans|700|||||||” text_text_color=”#4c659e” text_font_size=”18px” text_line_height=”1.2em” link_font=”Open Sans|700|||||||” link_text_color=”#4c659e” link_line_height=”1.2em” custom_margin=”|||” custom_margin_tablet=”” custom_margin_phone=”” custom_margin_last_edited=”on|phone” global_colors_info=”{}”]<\/p>\n [\/et_pb_text][\/et_pb_column][et_pb_column type=”1_3″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.16″ text_font=”Open Sans|700|||||||” text_text_color=”#4c659e” text_font_size=”18px” text_line_height=”1.2em” link_font=”Open Sans|700|||||||” link_text_color=”#4c659e” link_line_height=”1.2em” custom_margin=”|||” custom_margin_tablet=”” custom_margin_phone=”” custom_margin_last_edited=”on|phone” global_colors_info=”{}”]<\/p>\n [\/et_pb_text][et_pb_text _builder_version=”4.17.6″ text_font=”Open Sans|700|||||||” text_text_color=”#4c659e” text_font_size=”18px” text_line_height=”1.2em” link_font=”Open Sans|700|||||||” link_text_color=”#4c659e” link_line_height=”1.2em” custom_margin=”|||” custom_margin_tablet=”” custom_margin_phone=”” custom_margin_last_edited=”on|phone” global_colors_info=”{}”]<\/p>\n [\/et_pb_text][\/et_pb_column][et_pb_column type=”1_3″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.16″ text_font=”Open Sans|700|||||||” text_text_color=”#4c659e” text_font_size=”18px” text_line_height=”1.2em” link_font=”Open Sans|700|||||||” link_text_color=”#4c659e” link_line_height=”1.2em” custom_margin=”|||” custom_margin_tablet=”” custom_margin_phone=”” custom_margin_last_edited=”on|phone” global_colors_info=”{}”]<\/p>\n [\/et_pb_text][et_pb_text _builder_version=”4.16″ text_font=”Open Sans|700|||||||” text_text_color=”#4c659e” text_font_size=”18px” text_line_height=”1.2em” link_font=”Open Sans|700|||||||” link_text_color=”#4c659e” link_line_height=”1.2em” custom_margin=”|||” custom_margin_tablet=”” custom_margin_phone=”” custom_margin_last_edited=”on|phone” global_colors_info=”{}”]<\/p>\n [\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":" Patient FormsPatient FormsWe are pleased to offer you the opportunity to complete the forms on your computer (you can type directly onto the form), then PRINT THE COMPLETED FORMS and bring them with you to your appointment to help reduce your waiting time. If you have any questions about these forms, please contact us at […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","inline_featured_image":false,"footnotes":""},"class_list":["post-2303","page","type-page","status-publish","hentry"],"yoast_head":"\nNew Patient Packet<\/span><\/a><\/h4>\n
New Patient Packet w\/
Vasectomy Letter<\/span><\/a><\/h4>\nSurprise Billing Disclosure Notice<\/span><\/a><\/h4>\n
Ambulatory Surgery Center Brochure with Advance Directives<\/span><\/a><\/h4>\n
Patient’s Bill of Rights and Responsibilities<\/span><\/a><\/h4>\n
Requests Release to TUC<\/span><\/a><\/h4>\n
Requests Release from TUC<\/span><\/a><\/h4>\n