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<td width="17%" class="FormInnerRowRightBorder"> <span class="smallGrayText"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" align="absmiddle"></span>
<strong>New Patient</strong></td>
<td> <span class="smallGrayText"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" align="absmiddle"></span>
<strong>Office Consultation</strong> Requested by __________________
for evaluation of ______________________.<br> <img src="../../Images/shim.gif" border="0" width="1" height="20">Please
send note to the requesting physician and the following: _________________________________.</td>
</tr>
</table></td>
</tr>-->
<tr>
<td class="FormOuterTableRow"><img src="../../Images/shim.gif" border="0" width="4" height="15"><span class="blackBoldText">Chief Complaint</span><br /><br /><img src="../../Images/shim.gif" border="0" width="4" height="1">Dx Date:<img src="../../Images/shim.gif" border="0" width="120" height="1">2002 TNM Stage: </td>
</tr>
<tr>
<td height="110" align="center" valign="top" class="FormOuterTableRow">
<table width="700" border="0" cellspacing="0" cellpadding="0">
<tr>
<td><img src="../../Images/shim.gif" border="0" width="4" height="1"><span class="blackBoldText">HPI</span></td>
</tr>
<tr>
<td height="140" align="center">
<table cellpadding="4" cellspacing="0" border="0" id="PopulatedHPITable" runat="server" width="700">
<tr>
<td class="HPITextBladder" valign="top" width="*"> <asp:Repeater ID="hpi" runat=server OnItemDataBound="hpiItemDataBound">
<ItemTemplate>
<%# DataBinder.Eval(Container.DataItem, "patientHPI") %>
<br>
<asp:Literal ID="StartNextHpiColumn" Runat="server" />
</ItemTemplate>
</asp:Repeater> <asp:Repeater ID="HpiProstatectomies" runat=server OnItemDataBound="HpiProstatectomiesItemDataBound">
<ItemTemplate> <strong>
<%# DataBinder.Eval(Container.DataItem, "OpType") %>
</strong> on
<%# DataBinder.Eval(Container.DataItem, "SurgDateText") %>
<asp:Label ID="CaseSurgeonLabel" Runat="server">by
<%# DataBinder.Eval(Container.DataItem, "SurgCaseSurgeon") %>
</asp:Label>
<br>
<asp:Literal ID="StartNextHpiColumn" Runat="server" />
</ItemTemplate>
</asp:Repeater> <asp:Label ID="PreTxPot" Runat="server" />
<asp:Repeater ID="hpiProtocols" runat=server OnItemDataBound="appendToHpiItemDataBound">
<ItemTemplate> Protocol
<%# DataBinder.Eval(Container.DataItem, "ProtocolNum") %>
<%# DataBinder.Eval(Container.DataItem, "ProtocolNotes") %>
<%# DataBinder.Eval(Container.DataItem, "PtProtocolStatus") %>
<br>
<asp:Literal ID="StartNextHpiColumn" Runat="server" />
</ItemTemplate>
</asp:Repeater> <asp:Repeater ID="hpiBiopsies" runat=server >
<ItemTemplate> Biopsy:
<%# DataBinder.Eval(Container.DataItem, "BxDateText") %>
<%# DataBinder.Eval(Container.DataItem, "BxType") %>
Result:
<%# DataBinder.Eval(Container.DataItem, "BxResult") %>
<%# DataBinder.Eval(Container.DataItem, "bxQuality") %>
<br>
<asp:Literal ID="StartNextHpiColumn" Runat="server" />
</ItemTemplate>
</asp:Repeater> <asp:Label ID="NVB_Left" Runat="server" />
<asp:Label ID="NVB_Right" Runat="server" /> </td>
</tr>
</table>
<table width="100%" border="0" cellpadding="0" cellspacing="0" id="BlankHPITable" runat="server">
<tr>
<td height="22" class="FormInnerRowBottomBorder"> </td>
</tr>
<tr>
<td height="22" class="FormInnerRowBottomBorder"> </td>
</tr>
<tr>
<td height="22" class="FormInnerRowBottomBorder"> </td>
</tr>
<tr>
<td height="22" class="FormInnerRowBottomBorder"> </td>
</tr>
<tr>
<td height="22" class="FormInnerRowBottomBorder"> </td>
</tr>
<tr>
<td height="22" class="FormInnerRowBottomBorder"> </td>
</tr>
<tr>
<td height="22" class="FormInnerRowBottomBorder"> </td>
</tr>
<!--<tr>
<td height="22" class="FormInnerRowBottomBorder"> </td>
</tr>-->
</table>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td height="22" class="FormInnerRowBottomBorder"> </td>
</tr>
<tr>
<td height="22" class="FormInnerRowBottomBorder"> </td>
</tr>
<tr>
<td height="22"> </td>
</tr>
</table>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td class="FormOuterTableRow">
<table border="0" width="700" cellpadding="1" cellspacing="0">
<tr align="left">
<td colspan="6" valign="middle"><img src="../../Images/shim.gif" border="0" width="4" height="1"><span class="blackBoldText">Presenting Symptoms</span></td>
</tr>
<tr>
<td width="70" align="center" valign="middle" class="FormInsideTableTopCell">System</td>
<td width="120" align="center" valign="middle" class="FormInsideTableTopCell">Symptom</td>
<td width="60" align="center" valign="middle" class="FormInsideTableTopCell">Presenting</td>
<td width="50" align="center" valign="middle" class="FormInsideTableTopCell">Current</td>
<td width="85" align="center" valign="middle" class="FormInsideTableTopCell">Presenting Date</td>
<td width="305" align="center" valign="middle" class="FormInsideTableTopCell">Notes</td>
</tr>
<tr>
<td rowspan="10" align="center" valign="top" class="FormInsideTableRegCell">GU</td>
<td class="FormInsideTableRegCell">Dysuria</td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="1"></td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="1"></td>
<td align="center" class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
</tr>
<tr>
<td class="FormInsideTableRegCell">Hematuria</td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="1"></td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="1"></td>
<td align="center" class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
</tr>
<tr>
<td class="FormInsideTableRegCell">Frequency</td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="1"></td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="1"></td>
<td align="center" class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
</tr>
<tr>
<td class="FormInsideTableRegCell">Nocturia</td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="1"></td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="1"></td>
<td align="center" class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
</tr>
<tr>
<td class="FormInsideTableRegCell">Obstructive Symp*</td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="1"></td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="1"></td>
<td align="center" class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
</tr>
<tr>
<td class="FormInsideTableRegCell">Flank Pain</td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="1"></td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="1"></td>
<td align="center" class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
</tr>
<tr>
<td class="FormInsideTableRegCell">Sexual Symptoms</td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="1"></td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="1"></td>
<td align="center" class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
</tr>
<tr>
<td class="FormInsideTableRegCell">Groin Masses</td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="1"></td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="1"></td>
<td align="center" class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
</tr>
<tr>
<td class="FormInsideTableRegCell">Incontinence</td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="1"></td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="1"></td>
<td align="center" class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
</tr>
<tr>
<td class="FormInsideTableRegCell">Urgency</td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="1"></td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="1"></td>
<td align="center" class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
</tr>
<tr>
<td rowspan="2" align="center" valign="top" class="FormInsideTableRegCell">Gen</td>
<td class="FormInsideTableRegCell">Chills / Fever</td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="1"></td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="1"></td>
<td align="center" class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
</tr>
<tr>
<td class="FormInsideTableRegCell">Weight Loss</td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="1"></td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="1"></td>
<td align="center" class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
</tr>
<tr>
<td align="center" class="FormInsideTableRegCell">M/S</td>
<td class="FormInsideTableRegCell">Bone Pain</td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="1"></td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="1"></td>
<td align="center" class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
</tr>
<tr>
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