Your Appointment

Thank you for choosing Five Valleys Urology as your Urologic care provider. We provide multiple ways for you to interact with our office and see your provider. From face-to-face visits to Telehealth, and from in-office procedures to expert surgical care in a hospital or surgery center, Five Valleys Urology provides a comprehensive care approach designed around your individual needs.

Please contact our office with any questions.

New & Established Patients

The links below will open information packets for your visit. Almost always we will send these to you electronically when your appointment is made, however you can access the information below as well. Whether you fill out your forms electronically or by the links below, returning the information to our office prior to your visit will save you time and ensure we have everything we need to provide you with appropriate care.

Form DescriptionDownload
Authorization to Release Information Via EmailDownload
Care Provisions Policies 2020Download
Established Patient Update Packet (Print)Download
Established Patient Update Packet (Fillable Form)Download
IPSS Symptom ScoreDownload
New Patient Intake Packet (Print)Download
New Patient Intake Packet (Fillable Form)Download
Urinalysis Specimen Drop Off FormDownload

Self-Care Instructions & Procedure Information

Certain Procedures require additional information for our patients. Please refer to the following forms that detail your specific procedure and contact us with any questions.

Form DescriptionDownload
Catheter Care InstructionDownload
Catheter RemovalDownload
Clean Intermittent Self-Catheterization Instructions (Female)Download
Clean Intermittent Self-Catheterization Instructions (Male)Download
Clear Liquid Diet InstructionsDownload
Cystoscopy and UreteroscopyDownload
Da Vinci ProstatectomyDownload
HydroceleDownload
Instructions For Home Care of Ureteral StentDownload
Kegels: How To Do Pelvic Muscle ExercisesDownload
Neobladder Home CareDownload
Prostate Biopsy InstructionsDownload
ProstatitisDownload
Retropubic Radical Prostatectomy PT InformationDownload
Suprapubic Catheter Home CareDownload

Post-Procedure Instructions

Many times after surgical procedures patients have a difficult time recalling the discussion of postoperative care. The following forms will help you with most of your concerns. Please feel free to contact us with any questions pertaining to your postoperative care.

Form DescriptionDownload
Cystectomy Post-Op InstructionsDownload
ESWL Post-Operative InstructionsDownload
Holmium Laser Enucleation of ProstateDownload
Male SlingDownload
Nephrectomy and Renal Cryotherapy Post-Operative InstructionsDownload
Nephrectomy Post-Operative InstructionsDownload
Post-Operative Instructions for Scrotal SurgeriesDownload
After Your Prostate BiopsyDownload
Robotic and Radical Prostatectomy Post-Operative InstructionsDownload
TURP Bipolar Post-Operative InstructionsDownload
Vaginal Sling Post-Operative InstructionsDownload
Vasectomy Post-Operative InstructionsDownload
Vasovasostomy Post-Operative InstructionsDownload
Questions?