"Being an OB-GYN physician lends me the opportunity to make a difference in a woman’s life and the responsibility to earn her trust."
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Downloadable Forms
Patient Intake History Pg. 1 – Contact/General Info, Gynecological History
Patient Intake History Pg. 2 – Obstetric History, Current Medications, Family History
Patient Intake History Pg. 3 – Social History, Personal Profile, Personal Past History of Illnesses
