Patient Paperwork

New Patient Registration Packet
New patients should complete these forms and bring them to their first visit.
PT REGISTRATION AND 4PG HX.pdf
Adobe Acrobat document [11.8 MB]

Annual GYN Visit Health History Form
Returning patients should complete this form and bring it to their annual gynecological visit.
Interval Health History.pdf
Adobe Acrobat document [13.9 KB]

Policies and Procedures
POLICIES AND PROCEDURES.pdf
Adobe Acrobat document [17.1 MB]

Authorization to Release Medical Records
Completed record release forms can be faxed to 518.691.0477 or scanned and emailed to medicalrecords@myrtlestobgyn.com.
Record Release.pdf
Adobe Acrobat document [208.0 KB]