Forms


The forms below are provided in Adobe Acrobat format. You will need the free Adobe Acrobat Reader available on your computer in order to view.

Please complete both patient information forms, the appropriate history form, and the medical records release form (if required).

Patient Information and Privacy Forms

Patient History Forms

Please open, print and complete the appropriate form below:

  • Bladder (38.7KB PDF, opens a new browser window)
  • Hematuria (48.4KB PDF, opens a new browser window)
  • Kidney (63.2KB PDF, opens a new browser window)
  • Prostate (64.5KB PDF, opens a new browser window)
  • Testis (66.1KB PDF, opens a new browser window)

More Forms

 

 
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BCG Oncology, PC | 3815 E. Bell Road | Phoenix, AZ 85032 | PH (602) 493-6626 | FX (602) 996-1383

Copyright © 2009 BCG Oncology, PC. All rights reserved. Medical content authored by Donald L. Lamm, M.D., unless otherwise noted.
The information available on and through the BCGOncology.com Web site is presented in summary form as a supplement to, and NOT a substitute for, the knowledge, skill, and judgment of qualified physicians and health care professionals. The information on BCGOncology.com has been obtained from sources believed to be accurate and reliable. However, BCG Oncology, PC makes no warranty as to the accuracy, reliability, or completeness of this information. Information accessed on or through BCGOncology.com is neither complete nor exhaustive and does not cover all disabilities, diseases, illnesses, and physical conditions or their management or treatment. Information accessed on and through BCGOncology.com is provided "AS IS" and without warranty, express or implied, including, but not limited to, any implied warranty of merchantability or of fitness for a particular purpose. View our  terms of use for more information. Donald L. Lamm, MD is licensed to practice medicine in the state of Arizona, only.

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