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 |
| Patient Registration Form |
| Personal History Form |
| Authorization for Disclosure and Use of Protected Health Information |
New OB Information
| Preconception Recommendations |
| Obstetric Care At Our Practice |
| Pregnancy Guide |
| Genetic Screening Interest |
| Genetic Codes for Insurance Companies |
| Trial of Labor Consent |
| Our "Birth Plan" |
Postpartum Information
| Breastfeeding Troubleshooting |
| Postpartum Care Instructions |
Dentist Letter
| Dental Letter |
