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Urology Patient Check-In Forms

To expedite your check-in process, please print and complete forms below appropriate for your visit.

Urology

Providence Professional Plaza, Oregon City & Milwaukie

Providers: Do PA, Klemann MD, Marr MD, Menashe MD,        Richard MD, VanDlac MD

Advanced Urology Associates

Adventist Medical Center, Emanuel Hospital, Good Sam Hospital, Meridian Park Hospital, Providence Professional Plaza, St. Helens

    Providers: Cost MD, Dutta MD, Fernstrom PA-C, Harsono PA-C, Hwee PA-C, Kaempf MD, Kim MD, Lubahn MD, Mauer PA-C, McCoy MD, McEvoy MD, Miller MD