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.
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: |

Patient Registration Form | |
File Size: | 294 kb |
File Type: |

Personal History Form | |
File Size: | 394 kb |
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Authorization for Disclosure and Use of Protected Health Information | |
File Size: | 403 kb |
File Type: |

Late Policy | |
File Size: | 59 kb |
File Type: |
New OB Information

Preconception Recommendations | |
File Size: | 293 kb |
File Type: |

Obstetric Care At Our Practice | |
File Size: | 363 kb |
File Type: |

Pregnancy Guide | |
File Size: | 580 kb |
File Type: |

Genetic Screening Interest | |
File Size: | 359 kb |
File Type: |

Genetic Codes for Insurance Companies | |
File Size: | 476 kb |
File Type: |

Trial of Labor Consent | |
File Size: | 260 kb |
File Type: |

Our "Birth Plan" | |
File Size: | 353 kb |
File Type: |
Postpartum Information

Breastfeeding Troubleshooting | |
File Size: | 463 kb |
File Type: |

Postpartum Care Instructions | |
File Size: | 371 kb |
File Type: |
Dentist Letter

Dental Letter | |
File Size: | 97 kb |
File Type: |