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Obstetrics and Gynecology Patient Check-In Forms

To expedite your check-in process, please print and complete forms below appropriate for your visit.

Obstetrics, Gynecology & Midwifery East

Providers:  Bley MD, Caldwell DO, Denali Luengo MD,
Gibbens MD, Heller DO, Patel MD, Polo MD, Shaw DO,
Varhola DO, Corbett CNM, Corliss FNP

Obstetrics & Gynecology North

Providers:   Brady DO, Ribbink MD, Suriano MD, Waugh MD, Williams MD, Wilson-Panum MD, Mohler WHNP,
Simonich WHNP