PATIENT REGISTRATION

Welcome to OB/GYN Associates! Thank you for using our online forms for your registration. Please download and print the forms listed below using Adobe Acrobat reader.

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Financial Forms

Patient Registration
Medical History
Financial Policy

Please print and complete these forms and mail them back to us or bring them with you when you come to our office for your appointment. Please plan to arrive ten (10) minutes prior to your scheduled appointment time to allow us to register you prior to your visit with the physician or nurse practitioner.

HIPAA Privacy Practices

 

 

Provider Quicklink... ------------------------------ Phillip C. Agrusa, MD Scott B. Armstrong, MD Jenni L. Bradley, MD David C. Bradshaw, MD Theodore W. Colwell, MD Jill K. Dawson, CRNP, BSN John C. Dufurrena, MD Amy English, CRNP, BSN Robin D. Fox, CRNP, MSN Lee W. Parsons, MD Jennifer L. Newman, MSN, CRNP Michael J. Robinson, MD, FACOG Harmony R. Schroeder, MD Julie A. Stevens, CRNP