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New Patient Registration Forms

Thank you for choosing AdventHealth Urologic Oncology for your healthcare needs. For your convenience, we made our new patients forms available below.

In order to serve you better, we will need the following items before your appointment can be scheduled. These items will ensure that we are scheduling your appointment appropriately.

  • New Patient Forms- all attachment, download here
  • Copy of your Driver’s license or other government issued identification
  • Valid insurance card
  • Copy of your most recent biopsy results- if applicable
  • Copy of your most recent PSA results- if applicable
  • Copy of your most recent imaging reports related to your diagnosis

Please take time to fully complete ALL PARTS of the new patient forms as soon as possible. Once you have completed and gathered all the aforementioned items, please provide them to our office in one of the following ways:

  • Fax: 407-303-4674
  • FedEx
  • UPS
  • Priority US Mail
  • Email: CUCnewpatient@adventhealth.com

Our office address is:
AdventHealth Urologic Oncology
Attn: New Patient Coordinator
410 Celebration Place
Suite 200
Celebration, FL 34747

Once our office has received the fore mentioned items, we will contact you to schedule your consultation with Dr. Patel.