New Gyn patients (please fill out below 3 forms):
Registration Form
Patient Consent for Use and Disclosure of Protected Health Information (PHI)
Gyn Health Questionnaire (in English) or Gyn Health Questionnaire (in Vietnamese)

New OB or pregnant patients (please fill out below 4 forms):
Registration Form
Patient Consent for Use and Disclosure of Protected Health Information (PHI)
Gyn Health Questionnaire (in English) or Gyn Health Questionnaire (in Vietnamese)
Prenatal Genetic Screen Form

Other Forms:
Notice of Privacy Practices
Authorization to Release Healthcare Information to SouthBay OBGYN
Authorization to Release Healthcare Information to Other Doctors

Post-op Instructions
Gyn Postoperative Instructions
Hysteroscopy Post Procedure Instructions

These documents are in Adobe PDF format. If you’re unable to read PDF files, please download free Adobe Acrobat Reader here.