Patient Forms


Continence Care Forms
  Urodynamics Testing and Pelvic Floor Exercise Therapy Now Available

Urodynamics and pelvic floor therapy will help our patients with the assessment and assistance of urinary incontinence.

Urodynamics testing may be indicated if you have urinary incontinence, recurrent bladder infections, a slow or week urinary stream, incomplete bladder emptying, or frequent urination.

Pelvic floor therapy is a non-surgical treatment for incontinence. This therapy is usually provided weekly over the course of six weeks.

For more information, please download our Urodynamics and Pelvic Floor information sheets



Records Release Authorization
  To release or transfer your medical records to our office, please print and fill out the form at this link. Forms can be mailed in, or dropped off at our office.

New Oncology Patient Forms
  If you are a new patient scheduled to see Dr. Gamal Eltabbakh, you can print and fill out forms prior to your visit at this link. Please bring forms and insurance cards to your visit.

Regular Return Visit Registration
  If you are a patient returning for a regular visit with Dr.Gamal Eltabbakh, you can print and fill out your registration forms prior to your visit at this link. Please bring forms and insurance cards to your visit.

Wellness New Patient Forms
  If you are a new patient scheduled to see Georgia Eltabbakh, you can print and fill out forms prior to your visit at this link. Please bring forms and insurance cards to your visit.

Returning Wellness Patient Registration
  If you are an established patient scheduled to see Georgia Eltabbakh, you can print and fill out this form and the next one prior to your visit. Please bring forms and insurance cards to your visit.

Patient Satisfaction Survey
  Please feel free to comment on our office! You can print and fill out our patient satisfaction survey form at this link. Forms can be mailed in or dropped off to our office.