Please bring completed forms to your appointment.
- HIPAA Notice of Privacy Practices
- Treatment Payment and Operations
- Patient Information Form - All new and returning patients please complete this form.
- Medical Records Release Form - Complete if you need records sent to our office.
Obstetric Patient Questionnaire Forms
- OB Questionnaire - Please complete if you are currently pregnant.
- Postpartum Depression Questionnaire Please complete and bring to your postpartum visit.
GYN Health Questionnaire Forms: For New and Returning GYN patients
- New GYN Patient Form - All New GYN patients fill out this form
- Returning GYN Patient Form - Patients for all doctors and nurse practitioners except for those listed below, please complete this form.
- Returning GYN Patient Form Patients seeing Dr. Glasser or Nurse Practitioner Abigail Morgan, please complete this form.
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