Forms & Policies

For your convenience, Obstetrics & Gynecology Associates provides the following forms that you may download and complete before visiting us, or as needed. All new patients will need to fill out a Registration Form upon arrival at our office if not completed beforehand. If you do complete the Registration Form ahead of time, please bring two copies to the office. At regular intervals, you will be asked to update this information.

New Patient Forms:

• Registration Form
• Confidential Communications Request
• Notice of Privacy

Other Forms:

• Medical Record Release Form

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.

The following policies and instructions are provided for your reference:

Ancillary Tests

For our patients' convenience, we offer Mammography, Bone Density and Ultrasound testing on-site. We ask that you make necessary childcare arrangements prior to your testing. For safety and liability reasons, we do not permit children in the testing rooms. Children may be left in the waiting room, provided an adult accompanies them. Please note that technicians are not authorized to discuss test results.

Laboratory Service

Lab specimens collected in our office are sent to an outside laboratory for testing with the exception of pregnancy tests, routine urinalysis and hemocults.

Prescription Refills

For routine prescription refills, please leave a message on our prescription refill line. If your call is received prior to 4:00pm, your prescription will be called into the pharmacy you indicate within 48 hours. Our office policy is not to refill birth control prescriptions or non-emergent medication during the hours when our office is closed. We ask our patients be responsible for monitoring prescription needs. Please remember that the physician is on-call for emergency purposes only.

Non-patients

We cannot answer clinical questions or give medical advice to any patient who has not been seen at this office during the previous three years. Patients who have not been seen for the past 12 months or longer are kindly asked to schedule an annual exam. We reserve the right to provide care for our patients only.