NEW PATIENTS

Request an Appointment

This form can be used to request an appointment with a gynecologist. On weekdays you should expect to hear from us within twelve hours of receiving the information. Please do not use this form in the case of an emergency.

 OB GYN Initial Visit Information

Welcome to our Jacksonville obstetrics and gynecology practice where we are always happy to accept new patients. On this page you will find links to multiple forms required by our office. In order to provide you with the best possible care, we need the latest information on the current state of your health. Please take a moment to download and print the forms applicable to your situation. Arrive 15 to 20 minutes early to your first appointment to check in and give the forms to our receptionist. Please complete all necessary forms prior to your first visit to reduce your waiting time.

Initial visits for obstetrics and gynecology in our Jacksonville office usually take longer than subsequent appointments, so please allow for time accordingly. If you have previously been under care of another physician, please bring those records with you or have them sent to our office prior to your first appointment.

New Patient Forms

• Beaches OB GYN New Patient Forms
• Medical Records Release Authorization Form
• Minor Consent Form (Under Age 18)
• Baptist Medical Center Beaches Campus Map

For question do not hesitate to contact us at 904-241-9775.