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Patient Forms

Please read and fill out all of the forms for your appointment. Whether you are new to our practice, or have been treated by Natural Women's Health in the past, you MUST Read, Print and Complete the forms below PRIOR to your appointment. Just click on the name of the form and you should be able to print it.

 

If you would prefer to fill out some of the forms online you can access them through the Athena Patient Portal link. 

All Patient Forms:

Consent to Treat Form

HIPPA notice of Privacy Practice

No Show and Late Policy

Consent to Speak Form

Patient Financial Responsibility Agreement

Additional Annual Exam Forms:

Annual Visit Billing Form

Review of Systems Form

Family Cancer Questionnaire

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