Patient Resources

Patient Resources

Various documents on this site require Adobe Acrobat Reader DC or a compatible PDF reader to view them. Adobe Acrobat Reader DC can be downloaded here.  Adobe Acrobat Reader DC is a free program.

New Patient Packet

Paperwork required for all new Premier Women's Health patients

Open Form

Patient Update Packet

Established Patient Yearly Update Registration Form

Open Form

Cancellation Policy

Premier Women’s Health Cancellation and No-Show Policy

Open Form

Financial Policy

Your clear understanding of our Financial Policy is important to our professional relationship

Open Form

HIPAA Policy

This Notice Describes how your medical information may be used and disclosed

Open Form

Records Release

Request to have your medical records sent to Premier Women's Health

Open Form

Records Send Release

Request to have your medical records sent to another provider

Open Form