We at North Idaho Urology know that your time is valuable.  Please utilize the forms below so you may fill out your information at your convenience.  The following forms are designed to assist us in getting the most accurate information to make your appointment with us as efficient as possible.

 

- Patient Sign In
- Financial Policy

- Records Release
- Vasectomy Release
- Vasectomy Instructions

- Notice of Privacy Practices (HIPAA)

 
Patient Sign In
Records Release
Notice of Privacy Practices
       (HIPAA)
Financial Policy
Vasectomy Release
Vasectomy Instructions

 



980 W. Ironwood Dr., Ste.104
Coeur d’Alene, Idaho 83814
Ph: (208) 667.0621
Fax: (208) 664-1709

 

North Idaho Urology | 980 W. Ironwood Drive, Ste. 104 | Coeur d’Alene Idaho 83814 | Ph: (208) 667-0621 Fax: (208) 664-1709
Copyright 2008 © | All Rights Reserved
Custom web site designed and developed by Knock - Marketing and Design