Pelvic Floor Disorders Program
Women's Medicine Collaborative
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Patient and Provider Forms
Some forms are multiple pages; please complete all pages.
Forms for Patients
- Pelvic Pain Program New Patient Packet (PDF)
- Release of Medical Records Form (PDF)
- Pain Catastrophizing Scale Form (PDF, English)
- Pain Catastrophizing Scale Form (PDF, Spanish)
Forms for Providers
Pelvic Floor Disorders Program
- Meet Our Pelvic Floor Team
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Pelvic Floor Disorders
- Information and Treatment for Anal Fissure
- Information and Treatment for Anal Fistula
- Information and Treatment for Bladder Prolapse (Cystocele)
- Information and Treatment for Chronic Constipation
- Information and Treatment for Fecal Incontinence
- Information and Treatment for Hemorrhoids
- Information and Treatment for Interstitial Cystitis (Painful Bladder Syndrome)
- Information and Treatment for Irritable Bowel Syndrome
- Information and Treatment for Neurogenic Bladder
- Information and Treatment for Pelvic Pain
- Information and Treatment for Postpartum Pelvic Floor Issues
- Information and Treatment for Rectal Prolapse
- Information and Treatment for Rectocele
- Information and Treatment for Rectovaginal Fistula
- Information and Treatment for Urinary Incontinence
- Information and Treatment for a Urinary Tract Infection (UTI)
- Diagnostic Tests
- Pelvic Pain Program
- Cancer Survivor Pamela Lambert
- Patient and Provider Forms