Patient Referral Forms
Complete your referral forms in advance to help us streamline your visit.
Prepare for Your Appointment
At Northwest Continence Center, we want your visit to be as smooth and efficient as possible. To help us get started quickly and focus on your care, please download, fill out, and bring the required forms to your appointment.
You’ll find all the forms you need below:
New Patient Paperwork
Why Patients Trust Northwest Continence Center
We take a science-based, compassionate approach that puts your comfort and results first.
Advanced Axonics Therapy
A minimally invasive solution that restores nerve communication for lasting relief.
Personalized, Science-Based Care
Every treatment plan is tailored to your unique needs using proven medical approaches.
Experienced, Specialized Providers
Our experts are trained in continence-focused procedures and neuromodulation techniques.
Judgment-Free Patient Support
We create a respectful, compassionate environment where you feel safe and heard.
We’re More Than Just a Clinic
We understand that incontinence can be emotional and isolating. That’s why we’re committed to making your experience safe, respectful, and empowering. Every visit is designed to make you feel heard and supported.
Let’s find the right solution together.