Allentown, PA • North Wales, PA (610) 435-9575

Appointments

On your first visit to our office, we will carefully review your medical history, do a pelvic exam, take a urine sample for analysis, and do a preliminary test called uroflowmetry. our physicians will talk with you about his findings, and we will schedule further tests if necessary.

You should complete the following forms prior to your first visit. These forms will help our physicians to better assess your condition; and henceforth recommend a treatment plan specific to your individual concerns. This information is very important. Please take the time to carefully complete them to the best of your ability. If you have problems downloading these forms, please call (610) 435-9575 to have the forms mailed to you. 

These files are PDF files. If you do not have Adobe Acrobat Reader on your computer, you can download the program here.

Bladder Record

HIPPA Notice of Privacy Practices

HIPPA Patient Acknowledgement Form

Patient Demographic Form

Patient Financial Policy

Patient History Form

Patient Sexual Function Questionnaire

Urogynecology Questionnaire

The Institute for Female Pelvic Medicine is on Facebook