Forms & Policies

For your convenience, CCOG provides the following forms that you may download and complete before visiting us. Otherwise applicable forms will need to be filled out upon arrival at our office so please arrive 15 minutes early to do this. At regular intervals, you will be asked to update this information.

• New Patient Questionnaire
• Pregnancy Questionnaire
• Registration Form
• Confidential Communications Request
• Medical Records Release
• Notice of Privacy

The forms above are in PDF format and require Adobe Acrobat or Adobe Acrobat Reader. Acrobat Reader is downloadable for free on Adobe's website. Interactive forms opened and completed in Safari will not save changes made to the PDF.

These procedure instructions and informational resources are provided for your reference:

• Major Surgery Post Op Instructions
• Urinary Incontinence - Dietary Irritants
• Dietary Supplements for Cervical Dysplasia (CIN)
• Pre-Natal Summary
• Pre-Natal Diagnostic Testing
• Anatomic Ultrasound Prep (Pre-Natal)
• Birth Plan
• Labor Instructions
• Induction Instructions
• Edinburgh Postnatal Depression Scale
• Ultrasound Instructions
• Pelvic Ultrasound Instructions
• Sonohysterogram
• Glucola Instructions
• Artificial Insemination
• Laparoscopic Post Op Instructions