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Registration Form

Filled By:

  • New patients 

  • Change of address/insurance or any other personal information

Medical History Form

Filled By:

  • New patients 

  • Change in medical history

  • ***Please PRINT and bring to your office visit

HIPPA Form

Filled By:

  • New patients ONLY

Record Release Form

Filled By:

  • Any patient transferring in or out

Important News

We are pleased to announce that as of January 1st we have joined Axia Women’s Health, one of the nation’s largest independent women’s healthcare groups, who shares a common vision to improve healthcare for women. This new opportunity will enable us to continue as an independent, physician-led practice, delivering the same outstanding, patient-centered care you have come to expect from us, but with the added support of a national organization driving positive changes in women’s health.

 

Your physician, other care providers, and our three locations will remain the same. This new relationship will also not affect any scheduled appointments, accepted insurance plans, or the phone number you call when you need care. We look forward to announcing new programs and expanded service offerings to enhance your care in the coming months, and are excited to soon offer online scheduling through our updated website.

 

Finally, you will begin to see the Axia Women’s Health name appear in our communication and branding in the very near future. Please remember that while you may notice an updated look, we are still the same team, devoted to providing quality, compassionate care for the women we serve. We thank you for including us as part of your healthcare journey, and encourage you to visit axiawh.com to learn more about Axia Women’s Health and the network’s impressive scope of services.

Taking care of your health

Health Plans
We Accept

We accept most commercial health care plans except for Medicare, Medicaid, and Affordable health care.

Number 1 Medical Practice in the Area

A great life for your bundle of joy starts here, with excellent quality prenatal care. 

Specialist 
Doctors

Our skilled physicians work together to meet your needs in this exciting journey.