Click on the links below to open forms in PDF format.

•  New Patient Demographic and Medical History Forms

•  Notice Of Privacy Practices For Protected Health Information

•  Patients' Right and Responsibilities
                                            
 HOME    |    ABOUT US    |    STAFF    |    SERVICES    |    FAQs    |    LOCATION     |    LINKS    |    MEDIA   |   PRINT FORMS
Z Urology • Michael P. Zahalsky, M.D., P.A. • 5850 Coral Ridge Drive • Suite 106 • Coral Springs, FL  33076
2951 NW 49th Avenue Suite 308 • Ft. Lauderdale, FL 33313
Phone: (954) 714 - 8200 Fax: (954) 714 - 8222