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We offer uptodate care for females fromadolescence through menopause andannual exams to complex problems
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Helpful Forms




It is our goal to see each patient as close to the scheduled appointment time as possible. However, the practice requires each patient to have a chart with information needed for evaluation of your medical condition or to verify your insurance coverage. This is why we ask patients to arrive 10-15 minutes early to complete a number of forms at the first visit or to update the information at subsequent visits. Often there is a delay if the clinical or other file information is missing.

To minimize the possibility of such a delay, you can help by having these patient forms completed before arriving for your visit. Many of our patients also find it easier to complete the medical history forms at home where they may have access to information not brought to the office visit. For your convenience, we have made several patient forms available for download. You may print, complete, and bring them with you to your first or next appointment.

Once your appointment is confirmed as a New Patient, please complete the following two Mandatory Forms (REGISTRATION & HISTORY) and bring them to your first appointment.
Transition of Care: If you would like our team to coordinate care with another physician/practice please complete the form below either to authorize us to receive your medical records from your previous physician(s), or to authorize us to send your medical records  to other physician(s):

AUTHORIZATION TO RELEASE MEDICAL RECORD

Other Useful FORMS:
Designating A Family - Release of Medical Information Form
 
BALANCE & DUEs:
Recurring Payment Authorization FORM


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Helpful Forms

Click here to view and print forms for your appointment.

CLICK HERE