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FORMS

Dear Patient,

If this is your first visit to Park Ave Urology, P.C., please take the time to complete the below forms and bring them to your appointment. Filling out the forms prior to your appointment saves time for everyone.

Patient Information Form

Medical Questionnaire Form

 Release Forms including:
  • Release Information
  • Release Payment
  • Authorization to Provide Medical Treatment
Please fill out the interactive forms, print on 8.5x11 paper and bring them to your appointment.

Thanks,
Nabet G. Kasabian, M.D.


Nabet G.Kasabian MD, FACS
103 East 80th Street (at Park Avenue)
New York, NY  10075
Tel: 212-535-0755
Fax: 212-744-4539
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