Urology Medical Show Casting Form

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A major cable network is now casting individuals with conditions on, in, or around, their genitals for a new medical series featuring one of the most renowned board-certified urologist doctor/surgeon in the country. The doctor can handle a wide range of situations from prolapsed vagina, twisted testicle, to a penis or vagina that doesn't look, feel, or do what you want. Please fill out this form and we will get back to you ASAP to give you more information about the casting process. Your answers on this form are kept confidential within our casting team for this project. Must be 18+ to apply.

About Aberrant Creative, the Emmy-nominated casting company: We cast shows like TLC's “Dr. Pimple Popper”, TLC's “Too Large”, TLC's “Body Parts”, among many other important medical series. Visit our website for more! www.aberrantcreative.com

Email *

Name: *

Phone Number *

City, State *

Age *

Do you have health insurance? Is so, what is the name and type? (insurance not required) *

What is the issue you are currently having in your genital area? (please be as descriptive as you can) *

Have you seen a doctor before? If yes, what did they say about the issue? If you haven't been to a doctor, why not? *

How has this affected your life? *

Anything else we should know about your situation? *

How did you hear about the casting? *

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