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	nav links Summary Demographics Messages PayBill Medications Schedule Appointments       Log Out Tip Sheet Your browser does not support AJAX!. This site requires AJAX to run properly. Sign Up Login: Password: Confirm Password: First Name: Middle Name: Last Name: Date of Birth: Social: E-Mail Address: Gender: MaleFemaleOther Address Line 1 Address Line 2 Zip Code City/State Home Phone Cell Phone Work Phone Employer: Occupation: Language: Not RecordedAlbanianArabicBosnianChineseCroatianDanishEnglishEstonianFinnishFrenchGermanHebrewHindiHungarianJapaneseKoreanLatvianPatient declinedPolishPortugueseRomanianRussianSpanishVietnamese Race: Not RecordedAmerican Indian or Alaska NativeArabAsianAsian IndianBlack or African AmericanEuropeanHispanic or LatinoMiddle Eastern or North AfricanNative Hawaiian or Other Pacific IslanderPatient declinedWhite Ethnicity: Not RecordedEuropeanHispanic or LatinoNon Hispanic or LatinoPatient declined Provider: James Fishman, M.D.INJECTION NURSE, Location: Central Arizona UrologistsJOHN C LINCOLN