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973-949-1286
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New Patient Information and Procedures
Schedule your annual exam
for the
week after your period
.
Bring a list of all your current medications and supplements including dosages.
Bring your
insurance card and photo ID
with you.
Bring copies of your
medical records
to your appointment, especially abnormal pap test results.
If you are
transferring from another practice
, please make sure to
Request Your Records
.
All new patients need to fill out
ALL
of these forms:
New Patient Demographics Registration
,
New Patient Form
,
Annual Consent Form
and this
HIPPA Consent Form
prior to your appointment.
If you are scheduled for an
annual gyn exam
, please also fill out
this form
.
If you are
under the age of 18
, please fill out this
New Pediatric Patient Demographic Registration
.
All forms can be filled out and faxed to us at 855-540-2449 or emailed to us at
TheModernWomanObGyn@AdvocareDoctors.com
.
Thank you for facilitating the registration process prior to your visit, if you have questions, please feel free to call us at
973-949-1286
.