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The Women's Group of Gwinnett, P.C.

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 obstetrics patients:

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