Medical Forms for Download

Moreland OB-GYN clinic interior
Below are downloadable PDFs of important medical forms that will open in a new browser window. Feel free to download and print these forms.  Fill out and bring forms to the clinic with you.

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Patient History
Instructions for Release of Information
Authorization to Release Protected Health Information
Authorization for Confidential Communication
General Consent for Admission/Treatment
Family Medical Leave (FMLA) and Disbililty Forms
Menstrual Calendar
Bone Mineral Density Test Patient Questionnaire

The Moreland Cookbook

Contact Us

Phone: 262-544-4411
Fax: 262-650-3856

Moreland OB-GYN Associates, S.C. now offers nine locations to serve your needs. Visit us in Waukesha,
Mukwonago, Sussex, Brookfield, Hartland, Delafield, Oconomowoc Hostpital, Oconomowoc Physician Center & Watertown.

Baby Gallery

Submit your Moreland OB-GYN baby photo to be added to our Baby Gallery
Click To See Gallery

View Our Products

We understand the importance of women's sexual health and provide a safe, private environment. Click here to view products from Wisconsin's OB-GYN Specialists.