New Patient Forms


 

Welcome to Huntington Urology Specialists, where our goal is to respond to all of our patients’ needs and to provide the highest quality care. 

In anticipation of your first visit to our office, we have provided you with 2 forms to fill out completely:

 

New Patient Forms

Notice of Privacy Practices

 

Patient intake forms are designed to expedite the paperwork process for new patients. Improving the patient intake process frees up time for any additional questions or concerns you may have for the front desk staff.   

If you’re not able to print out the forms, please arrive at least 30 minutes prior to your appointment to complete your forms. Please bring your photo i.d. and your insurance card. You may also fax relevant medical records to include x-rays and lab results prior to your appointment at (562) 544-0626. This will allow you to have a productive consultation with your physician.

We look forward to meeting you and providing you with excellent Urology care.

Location
Huntington Urology Specialists
800 South Fairmount Ave, Suite 412
Pasadena, CA 91105
Phone: 626-275-4457
Fax: 626-544-0626
Office Hours

Get in touch

626-275-4457