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Patient Office Forms

We ask that all patients with an appointment log into our secure patient portal. On the My Patient Page, the Welcome to Our Office and the Health History Form should be completed online. There is no need to print these to bring to your appointment.

In order to save time at your office visit, we ask that you complete the appropriate forms listed below. Please print the form(s) and bring the completed form(s) with you to your appointment.

Patient Forms - downloadable PDF Forms

Insurance Authorization
All patients need to print and complete this form.

Collection Policy
Print and complete this form if your appointment is for an annual exam or a gyn problem.

OB Collection Policy
Print and complete this form if you are coming in for your first OB appointment.

Surgery Collection Policy
Print and complete this form if you are coming in for an In-Office procedure.

Medical Records Release
Complete this form only if you are requesting your medical records be sent to another physician.

 

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