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    • RIRS
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    • Women Sexual Health
    • Interstitial Cystitis, 
    • Women incontinence
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  • About Us
  • Men health
    • Male Infertility
    • Low Testosterone
    • Prostate cancer
    • Phimosis
    • Erectile Dysfunction
  • kidney stones
    • PCNL
    • RIRS
  • Women's health
    • Women Sexual Health
    • Interstitial Cystitis, 
    • Women incontinence
  • Contact & Location
  • Blog
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+ 1 541-754-3010

Online Forms

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+ 1 541-754-3010

Online Forms

Here are some important forms you to review and complete prior to your appointment with one of our physicians or provider.

  • Screening Checklist for Visitors
  • New Patient Enrollment Form
  • Medical History Form
  • Online Doctor Appointment Form
  • Psychiatric Evaluation Form
  • Quick Emergency Contact Form
  • Blood Donation Form
  • HIPAA Privacy Restriction Questionnaire
  • Medical Release Form

We are proud of our rich history of providing urology care to our patients for more than 20 years along with thousands of surgeries.

9872618670

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Patient Care >

  • About Us
  • Men health
    • Male Infertility
    • Low Testosterone
    • Prostate cancer
    • Phimosis
    • Erectile Dysfunction
  • kidney stones
    • PCNL
    • RIRS
  • Women's health
    • Women Sexual Health
    • Interstitial Cystitis, 
    • Women incontinence
  • Contact & Location
  • Blog
Menu
  • About Us
  • Men health
    • Male Infertility
    • Low Testosterone
    • Prostate cancer
    • Phimosis
    • Erectile Dysfunction
  • kidney stones
    • PCNL
    • RIRS
  • Women's health
    • Women Sexual Health
    • Interstitial Cystitis, 
    • Women incontinence
  • Contact & Location
  • Blog

Our Practice >

  • About Us
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  • Women's health
  • Men health
  • Kidney stones
  • Blog
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  • About Us
  • Contact & Location
  • Women's health
  • Men health
  • Kidney stones
  • Blog

Contact

Tricityurologist Clinic 

2164, Sector 21C, Chandigarh

Livasa Hospital Mohali,Sector 71, Mohali

Contact Number 

9872618670

 

 

 

 

 

 

 

 

 

 

 

 

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+91 987-261-8670

Use only for Stomach pain, Fever,
Urine Retention, Bleeding in Urine etc...

 

2164, Sector 21C, Chandigarh

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