Florida Urology Specialists - A Center for Quality Urological Care

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 Please PRINT and COMPLETE ALL of the following forms, then bring them with you to your next appointment.

  Patient Informaton Form

   
  Notice of Privacy Practices
   
  Release of Medical Records
     

        (800)-543-2809  ~  Fax (941) 308-8508  ~  Office (941) 309-7000

 
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