PATIENT FORMS
There are 2 forms on this page. The first, AUTHORIZATION FOR THE RELEASE OF MEDICAL RECORDS, is directly below. The second one is a full packet for new patients. To skip to the NEW PATIENT PACKET, simply CLICK HERE.
Thank you.
AUTHORIZATION FOR RELEASE OF MEDICAL RECORDS
NEW PATIENT PACKET
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UROLOGY ASSOCIATES
12234 Williams Rd.
Cumberland, MD 21502
Office Phone: (301) 724.0132
Fax: (301) 759.5874