Patient Forms

Patient Forms

Please click the desired link below to obtain an online form. Fill out the form in its entirety and click "Submit to LIU" to send the form.
You also may fill out and print the form to retain a copy for your files, or save it to your computer.

NOTE: If you have had any lab work or X-rays pertaining to an upcoming appointment, please bring those to your appointment. This will enable our doctors to better evaluate you and will assist our staff in streamlining your visit.

Forms may require Acrobat Reader for online completion. Please click here for free download. If you have difficulty with Acrobat, simply fill in the forms online, use the "Print Form" button, and mail the form to Lansing Urology.