Patient Forms

Welcome to Columbus Gynecology!

We are pleased that you have entrusted us with your healthcare. It is a privilege we take very seriously. Our goal is to provide outstanding care to achieve the highest possible patient satisfaction. As we are always looking for ways to improve our service, please feel free to comment on any issues that are of concern. We feel that we have a talented and dedicated staff. They will address any questions you may have regarding your healthcare.

If you are unable to keep your scheduled appointment, kindly call the office at least 24 hours in advance. New patients who fail to show or cancel within 24 hours of their appointment, will be subjected to a $50 charge on their account. This fee must be paid before scheduling a future appointment. Established patients will be assessed a $25 charge for similar reasons.

We look forward to working with you. Columbus Gynecology is committed to providing compassionate, high quality women’s healthcare. We strive to develop caring relationships with our patients, involving them in treatment plans and helping them to manage their own health.

Thank you for joining us.


For your first visit to our practice, download and print the appropriate information packets below. Fill out the information, and bring with you to your first appointment.

New Patient Packet

Returning Patient Packet

Minor Consent Form

Consent to Share Health Information Form

Protected Health Information (PHI) Disclosure

 

All forms require Adobe Acrobat for viewing and printing. Download Acrobat.

 

If you have questions about any of the forms, we'll be happy to assist you when you visit our office.