Suite 207, 1015 Regent Street, Fredericton, NB E3B 6H5
Fredericton Urology Clinic
PROSTATE CANCER SCREENING
VASECTOMY SELF REFERRAL
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Prostate Cancer Screening Self Referral
Postal / Zip code
Do you have a family doctor?
Specific location where you want to get your bloodwork done
Do you have a family history of prostate cancer (father/brother)?
Describe significant symptoms. If you do not have symptoms, write "none".
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. If you have concerns about confidentiality and prefer to provide information by phone, please call 506-458-0310.