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21st Century OncologyBroward Urology Center New Patient Intake Form Page 1 of 4Wed like to welcome you as a new patient! Please take the time to fill out this form as accurately as possible, so we
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How to fill out everyone at middlesex urology

01
Start by gathering all necessary personal identification documents, such as your driver's license or passport.
02
Research and familiarize yourself with the specific forms required for your visit to Middlesex Urology. These may differ depending on the purpose of your appointment.
03
Arrive at the Middlesex Urology office with your completed patient information forms. These forms are typically provided by the clinic and can be obtained in advance or filled out on-site.
04
Provide any relevant medical records or documentation related to your urological conditions or previous treatments.
05
Follow the instructions given by the staff at Middlesex Urology regarding any additional forms or questionnaires that need to be completed during your appointment.
06
Be prepared to answer questions about your medical history, current symptoms, and any medications you are currently taking.
07
Ensure that you have a valid insurance card or payment method available to cover any medical charges or co-pays.
08
After filling out all necessary forms and providing the required information, wait for your turn to see the urologist. You may be asked to wait in the waiting area until you are called in for your consultation.

Who needs everyone at middlesex urology?

01
Anyone who is experiencing urological symptoms or conditions such as urinary tract infections, kidney stones, bladder issues, prostate problems, or incontinence may benefit from consulting with everyone at Middlesex Urology.
02
Individuals who have a referral from their primary care physician or general practitioner for a urological assessment or specialized treatment may also require the services of Middlesex Urology.
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Patients who have undergone urological surgeries or procedures in the past and require follow-up appointments, check-ups, or ongoing care can seek assistance from everyone at Middlesex Urology.
04
If you are unsure whether your specific urological concern falls within the purview of Middlesex Urology, it is best to consult with your primary care provider for guidance.
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