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Obstetrical Care Services

Specializing in high and low risk births.

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Patient Portal

secure access 24 x 7

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Meet Our Providers

Get to know our trained providers and staff

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Patient Forms

Please note – these patient forms should not be used unless you are instructed by a staff member to do so. If you are scheduled for an appointment, PHREESIA, our online confirmation system, will both confirm and send all the pertinent forms related to your scheduled appointment 72 hours in advance via e-mail or text. The forms below are for informational use, but can be used in the event of a system down.

 

New Patients

  • Registration Form 1
  • Gynecology Intake Form
  • Insurance Form
  • HIPAA Form
  • Office Policy
  • OB Questionnaire (pregnant patients only)
  • PBM Consent

Returning Patients

  • Annual GYN Intake Form
  • Office Policy
  • PBM Consent

Other Forms & Instructions

  • Privacy Policy
  • Pregnancy Instructions
  • Influenza Injection Recommendations
  • TDAP Recommendations
  • Lab Test Turn Around Times
  • Office Hysteroscopy Instructions
  • ACOG Patient Page
  • Counsyl / Foresight Carrier Screen
  • QNatal Advanced – NIPT Testing
  • Informaseq – NIPT Testing
  • Non Invasive Chromosomal Testing Options
  • Edinburgh Postnatal Depression Scale PDF

 

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