Pittsburgh Gynob
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    • Home
    • Meet Our Doctors
    • Locations
    • Insurance
    • Contact Us
    • New Patient Paperwork
    • Online Payment Portal
Pittsburgh Gynob
  • Home
  • Meet Our Doctors
  • Locations
  • Insurance
  • Contact Us
  • New Patient Paperwork
  • Online Payment Portal

New Patient Paperwork

On this page you can find all the paperwork that we mail out to our new patients.

All forms are to be filled out prior to your New Patient Exam and brought with you to the appointmen

 *Also please print these forms to update your records if you have not been in to see us in the last 3 years. 

 Also below is a link for a record release for Patients who have had a significant medical history with their previous OBGYN.
Please fill this out and send to previous OBGYN so that we can obtain the information before your scheduled exam. 




Please sign all paperwork, we do NOT accept electronic signatures


Paperwork

New Patient Instructions (docx)

Download

New Patient Information Sheet (pdf)

Download

Gynecological Health History (pdf)

Download

HIV Testing Consent (docx)

Download

Statement of informed consent for patients with a prior cesarean (docx)

Download

Record Realease Form (docx)

Download

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