Request a Consultation
![](img/box.gif)
Notice: Undefined index: captcha_input in /home/eb4nhwo80k78/public_html/request_a_consultation.php on line 16
Notice: Undefined variable: REMOTE_ADDR in /home/eb4nhwo80k78/public_html/request_a_consultation.php on line 18
To request a consultation by fax, click here, print the forms, and fax them to (305)936-0498 ![](img/icons/pdf4.gif)
![](img/icons/pdf4.gif)
![Fax a consultation request for laparoscopic radical prostatectomy, LRP; download the forms by clicking the pdf link.](img/request_consultation.jpg)