For our new patients, A Woman's Place OB/GYN provides a series of documents that can be conveniently downloaded, printed and sent to us. Please select the document or documents you need and click on the link to download.

*All the documents come in PDF format. To properly download and view you will need Adobe Acrobat. To download it please click here.

Documents:
NEW PATIENT QUESTIONNAIRE
FINANCIAL POLICY
HIPPA
DEMOGRAPHIC & INSURANCE INFORMATION
MEDICAL RECORDS RELEASE FORM
GENERAL CONSENT FORM
CONSENT FOR MEDICAL CARE
CONSENT FOR BIRTH CONTROL PILLS
CONSENT FOR CESAREAN SECTION
ULTRASOUND CONSENT FORM
CONSENT FOR AFP
CONSENT FOR COLPOSCOPY, CRYOTHERAPY AND/OR LEEP
CONSENT-FOR-CYSTIC FIBROSIS
CONSENT FOR ENDOMETRIAL BIOPSY
CONSENT FOR HYDROTHERMAL ABLATION
CONSENT FOR HYSTERECTOMY
CONSENT FOR IN-OFFICE ESSURE
CONSENT FOR IUD
CONSENT FOR STERILIZATION
CONSENT FOR CERVICAL EXAM
PRENATAL QUESTIONNAIRE
PRE-OP & POST-OP HTA INSTRUCTIONS
ANTHEM COORDINATION BENEFITS FORM
ANTHONY BECK'S - WELLNESS PROGRAM FORMS

For questions, please contact our offices or
click here.