New Patient Info

Forms

Please download and fill out the New Patient Form before arriving at your first appointment.

New Patient Forms
Privacy Practices
Continence Control Questionnaire
Bladder Diary

If you or your child will be seeing Andrew Gardner, PhD, for behavioral analysis, please download and complete all of the forms below. You will need to bring these with you to the first appointment. Allow plenty of time to complete the forms well in advance of your appointment.

Medical records exchange form
Informed consent form
Audiovisual recording consent form
Consent for assessment and intervention
History form
Service agreement