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Patient Forms


All of our medical forms are included below as downloadable PDFs. These will open in a new browser window so you can download and print with ease! Please fill out and bring these forms to the clinic with you.

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Patient History
Notice Regarding Preventative Office Visits
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 Disability Forms
Menstrual Calendar
Midlife Questionnaire 

Instructions For Family Medical Leave (FMLA) and Disability Form

Moreland OB-GYN is happy to help patients complete FMLA and disability forms. Our compassionate staff will work closely with our physicians to complete and submit your medical leave paperwork. Learn more about FMLA and Disability Forms now.

Financial Policy

Understanding the financial aspects of your health care can be challenging. As such, Moreland OB-GYN has developed a patient-friendly system for billing and payment tracking. Read more about our Financial Policy now.

Privacy Policy

Your privacy is important to us. Please take a moment to review our privacy policy information. View Privacy Policy now. 

Instructions For Release of Information

Do you require a release of patient information? Please follow our instructions below. Review Release of Information instructions now.

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