New OB Patient

New patient entry forms are listed below. All of these forms need to be completed and returned to our clinic at least 48 hours prior to your appointment. It is vital that the forms be returned to us in advance to best utilize both your time along with our physicians time. You can either print the documents or right click to download the pdf file. If you are an ob patient transferring care, Bellingham OB/GYN requires ob records from your current provider, prior to scheduling. If records are not received, your appointment may be rescheduled.

adobe_pdf_file_icon_24x24 Communication Preference

adobe_pdf_file_icon_24x24 GYN HX

adobe_pdf_file_icon_24x24 Medical Health HX Form

adobe_pdf_file_icon_24x24 Obstetrical Patient History Form

adobe_pdf_file_icon_24x24 Past Medical HX