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Patient Forms

For your convenience, we have made several forms available to our patients to download and print. This allows our patients to review and complete the forms at their leisure prior to their office visit. The forms are listed below and available in PDF format.

Patient Information

Financial Policy

Notice of Privacy Practices

Notice of Privacy Practices Receipt

Obtain Medical Records Authorization Form

Patient Communication Permission Form

Release Medical Records Authorization Form

Over-the-counter OB Medication Safe List

Lista Segura de Medicinas de Venta Libre para su Embarazo