Myrtle Street Obstetrics & Gynecology, P.C.
Myrtle Street Obstetrics & Gynecology, P.C.

Saratoga Office

59 Myrtle Street, Suite #100
Saratoga Springs, NY 12866

 

Malta Office

2105 Ellsworth Boulevard

Malta, NY 12020

 

Phone

518.587.2400

 

Fax

518.581.0141

Patient Paperwork

Click links below to download and print necessary 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]
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