Please print and fill out these four forms for your first appointment.

• New Patient Information Form
• HIPAA Patient Consent – Privacy laws require your consent before we release your medical history.
• Patient History – Your medical history.Patient Policy
• Office Policies and Patient Agreement

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• Authorization to Release Records FROM Blue Skies Center for Women TO another physician
• Authorization to Release Records TO Blue Skies Center for Women FROM another physician

Current Patients may use our convenient online forms to obtain routine prescription refills.

Prescription Refill Form