Forms

We ask that new patients complete the Patient Registration form and Medical History form. We also ask all new patients, or patients who have not been seen within 1 year,  bring in a valid photo ID and insurance card.

If you are coming in for an infertility consultation, please also fill out the Infertility Packet and bring in a copy of your most recent semen analysis.

If you have questions, please contact us.

Premier Urological Care in Utah Valley, for you and your family.