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Patient Forms Articles East Valley Resources For Expectant Mothers Office Policies Something Special Childbirth Prep Classes

Patient Forms

For your convenience, we've posted our most important patients forms here on our website. Feel free to print and fill these out at home, and bring them in for your next visit.

For New Patients

Patient Registration Form

Notice of Privacy Practices

Patient Acknowledgement

Authorization to Disclose Protected Health Information

Agreement to Arbitrate

Explanation of TWHS’ Arbitration Form

Cancellation Policy

 

For GYN Patients

Patient Registration Form

History & Physical Form for Gynecologic Patients

 

For OB Patients

Patient Registration Form

History & Physical Form for Obstetrics Patients

OB Patient Advisory

 

For Imaging Appointments

3D-4D Waiver

Osteoporosis Risk Assessment

Bone Density Medical History

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Formas en Español

Para su conveniencia, hemos preparados estas formas en español:

Español: Acuerdo para Arbitrar

 

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