Patient Center

Patient Portal

Patient Forms

Women's Group of Gwinnett has made our practice forms available for patients to download, print, complete and bring with you prior to your appointments.  Click on the appropriate link below to view and print the forms.

We are now E-Prescribing and will need the name, address and phone number of your pharmacy. There is a place on the patient registration form for you to put this information.

For our new gynecology patients:

  1. Patient registration and health questionnaire
  2. New Patient Gynecology Questionnaire
  3. Office Policy on Managed Care Insurers
  4. Receipt of Privacy Practice written acknowledgement form
  5. Intake form – Selection form for Auxiliary Aid
  6. Medication Refill Policy
  7. Authorization to Release Patient Information
  8. Acceptance of Blood Products

Individual Forms

  1. Patient Registration and Health Questionnaire – must be completed annually
  2. Established GYN checkup questions – completed on each office visit
  3. Records Release Forms
  4. Receipt of Privacy Practices
  5. Medication Refill Policy
  6. Authorization to Release Patient Information

Privacy Form

 

 


Our OB/GYN Practicioners


Dr. Sabrina Falkner


Dr. Yolonda Smith


Dr. Kimberly Huynh


Dr. Melissa Iyoyo


Dr. Gretchen Troxler


Anna Pollard, NP
Our OB/GYN Practicioners
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Phone: 770-979-4700 | Fax: 770-979-1060
500 Medical Center Blvd. | Suite 250 | Lawrenceville, GA 30046
1120 Peachtree Industrial Blvd. | Suite 209 | Suwanee, GA 30024