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Below are the forms for new patients at Medina OB/GYN Associates, Inc to fill out. These forms can be printed by clicking on the form itself and then clicking the print button in the upper left hand coner. Filling out the forms prior to your visit will save time when you arrive at our office and assure you are seen more promptly. Please print each form, fill them out and bring them with you on the day of your first visit. Thanks again for giving us the opportunity to take care of you.
Download Patient Demographic Form
Download Intake History Form
Financial Policy
Informed Consent For HPV Testing
Lab Test Estimate
Notice of Privacy Practice
Privacy Practice Acknowledgement
Medina OB/GYN's monthly publication will provide you and your family with the latest health information, filled with tips and medical updates, all through the convenience of e-mail. Please locate the newsletter signup area on the left hand side of our web site, type your email address and click sign up. Thats all there is too it and your on your way to a healthier lifestyle.
Click Here For Recent Newsletters
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