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
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
PRENATAL QUESTIONNAIRE
PRE-OP & POST-OP HTA INSTRUCTIONS
ANTHEM COORDINATION BENEFITS FORM

For questions, please contact our offices or
click here.