If it is your first time coming to one of our clinics OR you have personal information to update (address, phone number, income, etc.), fill out the following forms:
Patient Registration Form: Word or PDF
Financial Information Form: Word or PDF
If this visit will be the first time you are getting an exam with us, fill out the following form:
Initial History Form: Word or PDF
If you are a transgender patient and this is your first visit, fill out the following form:
Initial Transgender History Form: Word or PDF
If you are age 40 or older and this is your first visit, fill out the following form:
Initial Midlife History Form: Word or PDF
Don't want or need an exam, but still need birth control? You may qualify for HOPE (Hormones with an Optional Pelvic Exam). Fill out the followng form to do a brief consultation with us to see what method would be best for you!
Patient Videos
