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Prostate Cancer Center

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New Patient Packet
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Patient Forms

For your convenience, you may print and complete the following patient forms before your visit.

New Patient Packet - Download all forms at once
Use the links below to download each piece of the packet separately

• Patient Forms
  (Registration form, Patient history form)
  
  
• Billing & Payment Policy
  
  
• Identity Theft Protection Policy
  
  
• Notice of Privacy Practices

Patient Tools

• Reason for Visit
  
  
• What to Ask Your Doctor
  
  
• International Prostate Symptom Score (I-PSS)

Fox Chase Radiation Oncology Associates
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Just Opened!
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Where We Are

• Abington, PA
• Bryn Mawr, PA
• Drexel Hill, PA
• Huntingdon Valley, PA
• Media, PA
• Paoli, PA
• Philadelphia - Holme Avenue
• Philadelphia - Chestnut Hill
• Philadelphia - Roxborough
• Wynnnewood, PA
• Pathology - Huntingdon Valley, PA
• Corporate Office - Plymouth Meeting, PA
• UHS Prostate Cancer Center

Articles of Interest

• Kidney Cancer
• Prostate Cancer