Welcome to Melbourne HIFU

Patient Profile Form (Secure Submission)
If you are interested in HIFU treatment, please submit our Patient Profile Form below. A/Prof Royce will contact you via return email.

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Patient Profile
Country of Residence

Prostate Biopsy Report
Number of biopsies involved with prostate cancer  
Gleason score
Prostate volume (cc) cc  
PSA (ng/ml) ng/ml  
Previous TURP
Previous Prostate Radiation Therapy
Previous Hormonal Therapy

Previous Medical History

Other Comments

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