Ambulatory Registration
For all patients, please complete for your first visit
We are devoted to quality-driven and patient-centered care throughout every stage of a woman’s life, from adolescence to adulthood.
Specializing in obstetrics and gynecology, our physicians place special emphasis on preventive medicine and the early detection of health problems. Our comprehensive care includes:
We also provide a collaborative approach to care, involving experts from various specialties, in order to enhance patient and family outcomes.
Payment (including copays, coinsurance and deductibles) is expected at time of service. As a courtesy, we will file your commercial insurance claims to your insurance carrier. Please have your insurance card and prescription card (if separate from insurance card) with you for each appointment.
Please check with your insurance carrier to determine whether or not a referral to a specialist is necessary. When requesting a referral from our office, please allow 2 business days for completion.
Please contact your pharmacy with your refill request. Your pharmacy will then fax the request to us, we will handle the request within one business day (24 hours) of receipt.
Specializing in obstetrics and gynecology, our physicians place special emphasis on preventive medicine and the early detection of health problems. Our comprehensive care includes:
We also provide a collaborative approach to care, involving experts from various specialties, in order to enhance patient and family outcomes.
Payment (including copays, coinsurance and deductibles) is expected at time of service. As a courtesy, we will file your commercial insurance claims to your insurance carrier. Please have your insurance card and prescription card (if separate from insurance card) with you for each appointment.
Please check with your insurance carrier to determine whether or not a referral to a specialist is necessary. When requesting a referral from our office, please allow 2 business days for completion.
Please contact your pharmacy with your refill request. Your pharmacy will then fax the request to us, we will handle the request within one business day (24 hours) of receipt.
For all patients, please complete for your first visit
Para todos los pacientes, por favor completa para su primera visita
You will be asked to review and sign this consent to receive care from our physicians and staff
Se te pedirá que revise y firme este consentimiento para recibir atención de nuestros médicos y personal
Complete this form to allow family and friends to receive information regarding your health
Complete este formulario para permitir que familiares y amigos pueden reciber información sobre su salud
Complete this form when you’d like for your medical records to be released to another entity
Complete este formulario cuando desee que sus registros médicos sean liberados a otra persona
For all patients, please complete for your first visit
Review and sign this consent in order to have communication with our physicians and staff via email
For all patients, please complete for your first visit
Para todos los pacientes, por favor completa para su primera visita
You will be asked to review and sign this consent to receive care from our physicians and staff
Se te pedirá que revise y firme este consentimiento para recibir atención de nuestros médicos y personal
Complete this form to allow family and friends to receive information regarding your health
Complete este formulario para permitir que familiares y amigos pueden reciber información sobre su salud
Complete this form when you’d like for your medical records to be released to another entity
Complete este formulario cuando desee que sus registros médicos sean liberados a otra persona
For all patients, please complete for your first visit
Review and sign this consent in order to have communication with our physicians and staff via email
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