We can best speed you along if you complete forms before your visit, especially if you're a new patient.
The online format is easy and secure. If you prefer, though, you can print forms on paper, then mail or fax to our office. Thanks!
We look forward to seeing you! Please complete this registration and medical history. To protect your privacy, the form and submission are fully HIPAA compliant.
If you're transferring your care to Advanced Gynecology, fill out this form and give it to your previous physician. If you don't have the address, just print the release, sign, and return to us. We'll contact the prior practice on your behalf.
Medical Records Transfer (complete on-line or download and print)