Conveniently access, print, and complete the appropriate patient forms and bring them to your next office visit at Duke Urology of Raleigh.

New Patient Forms

• Welcome Letter (PDF, 203 KB)
• New Patient Form (PDF, 25 KB)

Return Patient Forms

• Return Patient Symptom Review (PDF, 175 KB)
• Return Patient History (PDF, 174 KB)

Male Patient Forms

• Internal Index of Erectile Function (PDF, 17 KB)
• American Urological Association Symptom Score and Quality of Life (PDF, 18 KB)

Female Patient Forms

• Female Incontinence Survey (PDF, 171 KB)

General Patient Forms

• Instructions for 24-Hour Pad Weight Test (PDF, 59 KB)
• Bladder Diary: Patient Instructions (PDF, 124 KB)

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