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