Zubritzky & Christy OBGYN Associates
412.788.1330
412.942.5380
  • Home
  • Zubritzky & Christy Assoc.
  • Locations and Hours
    • Robinson Office
    • St. Clair Professional Office Building
    • Kennedy Office
    • Bethel Park - Village Square
  • Patient Info
    • Forms
    • General Information
    • Gynecology
    • Obstetrics
    • Resources
  • Services
  • Coronavirus Information

Forms for Zubritzky & Christy OB/GYN Associates


New Patient Forms

Forms MUST be completed prior to your appointment. If you cannot print the forms we will mail them to you. If you arrive at your scheduled appointment time without forms completed, you will be considered late and we may reschedule you. 

​If for some reason you are unable to do this prior to your appointment, please arrive at least 30 minutes early to complete the forms and allow our staff to enter them into your electronic health record. 
Policies and HIPAA Form
File Size: 426 kb
File Type: pdf
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Patient Registration Form
File Size: 294 kb
File Type: pdf
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Personal History Form
File Size: 394 kb
File Type: pdf
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Authorization for Disclosure and Use of Protected Health Information
File Size: 403 kb
File Type: pdf
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Late Policy
File Size: 59 kb
File Type: pdf
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New OB Information

Preconception Recommendations
File Size: 293 kb
File Type: pdf
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Obstetric Care At Our Practice
File Size: 363 kb
File Type: pdf
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Pregnancy Guide
File Size: 580 kb
File Type: pdf
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Genetic Screening Interest
File Size: 359 kb
File Type: pdf
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Genetic Codes for Insurance Companies
File Size: 476 kb
File Type: pdf
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Trial of Labor Consent
File Size: 260 kb
File Type: pdf
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Our "Birth Plan"
File Size: 353 kb
File Type: pdf
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Postpartum Information

Breastfeeding Troubleshooting
File Size: 463 kb
File Type: pdf
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Postpartum Care Instructions
File Size: 371 kb
File Type: pdf
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Dentist Letter  

Dental Letter
File Size: 97 kb
File Type: pdf
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