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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.

Women's Health Today

Providers:  Bley MD, Caldwell DO, Denali Luengo MD, Gibbens MD, Heller DO, Patel MDPolo MD, Shaw DO, Varhola DO, Corbett CNM, Parker CNM, Wood CNMCorliss FNP, Strom NP                   

Everywoman's Health

     Providers:  Brady DORibbink MD, Suriano MDWaugh MD, Williams MDWilson-Panum MD, Mohler NPSimonich NP