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- Consent for Telemedicine Services Form
- New Patient Medical History
- Patient Information
- Appointment Cancellation
- Third Party Disclosure of Information
- Financial Policy
- Permission to Discuss Medical Information with Family Members
- Authorization for Use and Disclosure of Protected Health Information (PHI)
- Consent for the Use and Disclosure of Protected Health Information (PHI)
If you have scheduled an appointment to confirm your pregnancy, please print and fill out the Obstetric Patient Questionnaire to bring to your appointment.
Below are helpful handouts with information on pregnancy.
To obtain a copy of your medical records, please fill out the form below and return it to our office.