Downloadable Patient Forms

Please click the links below to download the appropriate patient information forms. Please print the forms and fill out manually. (These forms require Adobe Acrobat Reader to open and print).

Authorization to Release Information

Health Questionnaire

Notice of Privacy Practices

Privacy Policies

Patient Authorization for
Use and Disclosure of
Protected Health Information

Office Locations

Tustin Office
720 N. Tustin Avenue, Suite 101
Santa Ana, CA 92705

Irvine Office
16300 Sand Canyon, Suite 910
Irvine, CA 92718

Telephone
(714) 973-4600

Contact Us

Please feel free to contact our office directly via e-mail at:

info@urodocs.net

Also, our medical staff may be reached directly at the following e-mail addresses:

Dr. Gabal-Shehab: gabal-shehab@urodocs.net
Dr. Kaufman: kaufman@urodocs.net