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UROLOGY ASSOCIATES OF DANBURY, P.C. ADULT & PEDIATRIC UROLOGY www.danburyurology.com WILLIAM T. HENNESSY, M.D., F.A.C.S.JEANETTE M. RIVERA, M.D., F.A.C.O.JEFFREY I. GORELICK, M.D., F.A.C.S.J. JAMES
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01
Obtain the necessary registration forms or request them from the urology clinic.
02
Fill out the patient's personal information including their name, address, contact number, and date of birth.
03
Provide the patient's medical history including any previous surgeries, current medications, and allergies.
04
Specify the reason for the visit, whether it is for a routine check-up, specific urological condition, or any other concerns.
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Indicate any symptoms or complaints the patient may be experiencing related to the urinary or reproductive system.
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If applicable, include any relevant test results such as urine analysis, blood work, or imaging reports.
07
Sign and date the form to acknowledge the accuracy and completeness of the provided information.
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Submit the filled-out form to the urology clinic either by mail, fax, or in-person.

Who needs adult amp pediatric urology?

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Adults and pediatric patients who are experiencing urological issues or conditions require adult and pediatric urology.
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This can include individuals with urinary tract infections, kidney stones, bladder disorders, prostate problems, urinary incontinence, genital anomalies, and other urologic conditions.
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Both males and females of all ages can benefit from adult and pediatric urology services.
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Adult and pediatric urology is a medical specialty that focuses on the urinary tracts of males and females, as well as the reproductive system of males.
Urologists, physicians, and medical facilities that provide urology services for both adults and pediatric patients are required to file adult amp pediatric urology.
Adult amp pediatric urology forms can be filled out electronically or on paper, following the specific instructions provided by the governing body or organization.
The purpose of adult amp pediatric urology is to report patient information, diagnoses, treatments, and outcomes related to urological conditions in both adult and pediatric populations.
Information such as patient demographics, medical history, laboratory results, imaging studies, procedures performed, medications prescribed, and follow-up care must be reported on adult amp pediatric urology forms.
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