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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, Polo MD, Shaw DO, Varhola DO, Corbett CNM, Parker CNM, Shane CNM, Wood CNMCorliss FNP, Strom NP                   

Everywoman's Health

     Providers:  Ribbink MD, Suriano MD,  Waugh MD, Williams MDWilson-Panum MD, Simonich NP