In order to provide optimum healthcare, we ask that you complete medical paperwork before your visit. Completing these forms before your visit saves time at the Center and allows you privacy and access to information.
Please download, print single sided and fill out the forms below and bring them with you to your visit. Fill out the forms in black or blue ink only and check or cross the boxes off individually.
FORMS FOR NEW PATIENTS
- New patient Annual GYN Exam or Birth Control Start: under 40 or 40 and over
- New patient STI Screening or Problem Visit
- New patient Pregnancy Test
FORMS FOR RETURNING PATIENTS
You are a returning patient if you have been seen at this center within the past 2 years.
- Returning patient Annual GYN Exam or Birth Control Start:under 40 or over 40
- Returning patient STI Screening or Problem Visit
- Returning Pregnancy Test
OTHER FORMS
Depending on the reason for your visit, you may have more or different forms to complete. If you are unsure which forms you'll need, call your Health Center.
