Patient Paperwork2018-10-08T10:34:27+00:00

PATIENT PAPERWORK

Click links below to open PDFs in a new tab where you can download to print necessary paperwork.

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New Patient Registration Packet
New patients should complete these forms and bring them to their first visit.
PT REGISTRATION AND 4PG HX

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Annual GYN Visit Health History Form
Returning patients should complete this form and bring it to their annual gynecological visit.
INTERVAL HEALTH HSTORY

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Policies and Procedures
Includes our policies and procedures, and several forms you’ll need to fill out and bring.
POLICIES AND PROCEDURES

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Authorization to Release Medical Records
Completed record release forms can be faxed to 518.691.0477
or scanned and emailed to medicalrecords@myrtlestobgyn.com.
RECORD RELEASE