Initial Appointment
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 physician will talk with you about their findings, and we will schedule further tests if necessary.
You should complete the following forms prior to your first visit, including a bladder record that should be recorded for two 24-hour periods. These forms will help our physician 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 completing these forms, please call (609) 924-2230 for assistance.
Please do not confuse
these forms with the forms you may be requested to sign and complete
by Penn Medicine.
Online Forms
Please complete at least 24 hours prior to your visit
While we would prefer the online forms, if you are unable to complete the forms online, you can download the forms and return to the office prior to your appointment.
- Welcome Letter
- Patient Medical History Form
- Patient Demographic Form
- Urogynecologic Questionnaires
- Sexual Function Questionnaire
- 2-Day Bladder Diary