Winter Park Urology Associates
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  • Our Urologists
    • Donald V. Jablonski, M.D.
    • David J. Vaughan Jr., M.D.
    • Julio C. Gundian, M.D.
    • Jeffrey R. Thill, M.D.
    • David Jablonski, M.D.
    • Jeffrey D. Brady, M.D.
    • Inoel Rivera, M.D.
    • Rakesh C. Patel, M.D.
    • Jason Lemoine, M.D.
    • Robert P. Weaver, M.D.
    • Stephen A. Butler, M.D.
    • Gary A. Kalser, M.D.
    • J. Christopher Webster, M.D.
    • Thomas G. Cangiano, M.D.
    • Javier Miller Jr., M.D.
    • Tara Ann Bouzianis, ARNP-C
    • Rosemary Gavan, ARNP-C
    • Madeline Morales, ARNP-C
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Patient Forms

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Existing Patient Forms

  • Acknowledgement of Privacy Practices
  • Consent for Verbal Release
  • Financial Disclosure Form
  • Medical History
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Insurance Forms

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New Patient Forms

  • New Patient Information Sheet 
  • New Patient Letter
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Urological Ambulatory Surgery Center Forms

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Patient Resources

  • Appointment Request
  • Prescription Request
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  • Patient Care Instructions
    • Pre-Surgical Information
      • Circumcision
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    • Post Surgical Information
      • Circumcision
      • Robotic Prostatectomy
      • Vasectomy
      • Vasectomy Reversal
    • Basic Care Information
      • Kegal Exercises
      • Medications that Cause Bleeding
      • Pre-Fertility Treatment
      • Self Catheterization
      • Voiding Diary
      • Volume Study
  • Patient Education
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Quick Links

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Our 5 Convenient Locations

  • 1812 N. Mills Ave.
    Orlando, FL 32803
    (407) 897-3499
  • 3824 Oakwater Cir.
    Orlando, FL 32806
    (407) 826-8999
  • 255 N. Lakemont Ave., #201
    Winter Park, FL 32792
    (407) 622-7692
  • 270 Northlake Blvd., #1008
    Altamonte Springs, FL 32701
    (407) 834-3300
  • 7806 Lk. Underhill Rd., #106
    Orlando, FL 32822
    (321) 235-0030
  • About Us
    • Mission and Values
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  • Signature Services
    • Adult Circumcision
    • Clinical Research Studies
    • Enlarged Prostate (BPH)
    • Erectile Dysfunction
    • Fastrack
    • Female Pelvic Floor Rehabilitation
    • Male Infertility
    • Peyronie's
    • TransUrethral Microwave Thermotherapy
    • Vasectomies (Sterilization)
    • Vasectomy Reversal
    • Winter Park Urology Stone Center
  • Diagnostic Services
    • Flexible Cystoscopy
    • Hematuria
    • Pediatric Urological Examinations
    • Penile Doplar Ultrasound
    • Prostate Biopsy
    • Prostate Ultrasound
    • Rigid Cystoscopy
    • Testicular Biopsy
    • Transrectal Ultrasound
    • Ultrasounds
    • Urine Analysis
    • Urodynamic Testing (UDT)
    • Uroflow Post-Void Residuals
  • Surgical Services
    • Contigen Injections
    • Cryotherapy
    • da Vinci
    • Greenlight PVP
    • Laparoscopy
    • Penile Implant
  • Radiation & Treatment
    • Kidney Stone Treatment
    • Lupron Depot Injections
    • Penile Injections
    • Prostate Disorders
    • Urinary Incontinence
    • Urinary Tract Infections
    • Zoladex Depot Insertions

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