New Patients

New Patients

While we are committed to having a personal relationship with you, we need to collect information before we can treat you. With insurance changing frequently, we may need to collect the same information with each visit. If you can fill in these forms before your visit, we will be able to take care of you sooner when you arrive at the office.

 

Click on the names below to download the file.

 

NONDISCRIMINATION NOTICE

It is the policy and commitment of Ideal Gynecology that it does not discriminate on the basis of race, age, color, sex, national origin, physical or mental disability, or religion.

Harassment or intimidation of a patient, staff person, or guest because of that person’s race, age, color, sex, national origin, physical or mental disability, or religion is specifically prohibited and may be grounds for termination.  Harassment and intimidation include abusive, foul, threatening language, or behavior.  Ideal Gynecology is committed to maintaining a workplace that is free of any such harassment and will not tolerate discrimination against staff members, patients, or volunteers.

Issues of discriminatory treatment, harassment, or intimidation on any of these bases should immediately be reported to the Office Manager or immediate supervisor and, if substantiated, prompt action will be taken.

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