Patient Resources

Patient Forms

• Patient Registration Form
• General Medical Records Release and Authorization for Use or Disclosure of Protected Health Information
• The International Index of Erectile Function Questionnaire (IIEF)
• AUA Symptom Score
• Privacy Statement (HIPA)

Patient Instructions

• General Pre-Surgical Instructions
• Mount Sinai Surgery
• Mt.Sinai / Beth Israel Medical Center PACC Division
• Mt.Sinai / Beth Israel Medical Center Petrie Division
• New York Hospital Medical Center of Queens
• Biopsy Instructions
• Prolieve Thermodilatation System Treatment
• Kegel Exercises

Surgical Centers

General Surgery Instructions

• Food Sources for Potassium
• Guide for Low Purine Diet
• IC Diet
• Food Sources for Lycopene

Insurance

• Medicare
• Aetna US Health Care
• Empire BC/BS
• Cigna, PPO
• GHI
• HIP
• Oxford Health Plan – HMO, PPO, Liberty
• United Health Care
• Health First
• Metro Plus