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Jesika DiCampli, NMD, CPM
Marianne Marchese, NMD
Shahrzad Orona, NMD
Jonathan M. Psenka, NMD
Andrea Purcell, NMD
Michelle Retz, NMD
Phranq Tamburri, NMD
Mark Powell
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Members of our Practice have been recognized as some of
Phoenix Magazine's Top Docs
Patient Forms
Please click the link below to download our new patient forms in .pdf format.
2012 New Patient Forms
2012 Updates- Existing Patients Only
2012 Credit Card Authorization
2012 Medical Records Release Form
Notice of Privacy Practice
NEAT Bring List
Urological Symptoms Questionnaire
Prostate Packet
Prostate Sonogram
If you experience any difficulities downloading this form or would prefer to have us fax them to you, feel free to call our office at (602)493-2273.