New Patient Forms
Are you a new patient at Santa Fe Ob/Gyn? Please download the following forms and bring them to your appointment with you to save time.
- New Patient Medical History
- New Patient Registration
- Notice of Privacy Practices at Santa Fe Ob/Gyn
- Financial Policy Statement and Agreement & Assignment of Benefits
We also ask that you review the Santa Fe Ob/Gyn Office Policy
If you are an obstetrical patient, please download these additional forms:
- New OB Information Packet
- HIV Consent Form
- First Trimester Screening Information and Consent Form
- Approved Pregnancy Medications
- Birth Plan Worksheet
- St. Vincent Hospital Pre-Registration Form
Other Forms:
- Medical Record Release Form
- Family & Medical Leave Act (FMLA) Form Request
- Bio-Identical Hormone Replacement Therapy FAQs
- Bio-Identical Hormone Replacement Therapy Information
- Pellet Insertion Information
- Hormone Replacement Therapy History
- Hormone Therapy symptom checklist
- Women’s Health Initiative in a Nutshell
- ThermiVa – Pre-Treatment Instructions
- ThermiVa – Post-Treatment Instructions
- Weight Loss Expectations Form