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OB-GYN Associates' Patient Office Forms

Utilize the handy, printable forms below to shorten your office visit. No one likes to fill in forms so we've made the task just a bit easier. We've enabled some forms to accept typed information from your computer (all but signatures and dates). Now, instead of writing, you can simply click in the form field and type your information. Whether you prefer to type or use a pen, the forms work either way. When you're done, simply print the forms, ensure all fields are complete, and then turn them in to the office receptionist.

Form Name Who Needs This Form
New Patient Form New patients, patients not seen in last 3 years
Patient Medical History New patients, patients not seen in last 3 years
Family History Questionaire All gynecology patients
Prenatal Genetic Screen Form New obstetric patients
Patient Rights & Responsibilities Form New patients, patients not seen in last 3 years
Medical Records Release Form New patients, patients not seen in last 3 years
Record and Form Fees New patients, patients not seen in last 3 years
Use & Disclosure Consent Form New patients, patients not seen in last 3 years
Financial Policy Form New patients, patients not seen in last 3 years
Notice of Privacy Practice Form New patients, patients not seen in last 3 years
Patient Insurance Information All gynecology patients

Contact Us...

Dr. Spangler is
a great doctor.

The staff is always friendly.
I've been a patient for
14 years and never had a bad experience.
Dr. Shannon is on top of my care...

a pleasure to deal with.
It's evident that you strive daily to become better.

That is what makes a business successful!
Dr. Purvis is sensitive, caring, kind hearted and very professional.
I was in and out of
your office in one hour.
I appreciate your kindness each and every time I visit with you.
Dr. Shannon is professional, but casual, making it very easy to talk to him.
My visit to your
office was pleasant. I appreciated the timeliness
and short wait.
I was impressed and felt like I received
quality care.
Dr. Shannon made having to come in so frequently enjoyable and comfortable.
The receptionist is the friendliest person. The last time I came in, she remembered my name. I just love her!

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Call for an Appointment
Decatur: (256) 355-9711   Madison: (256) 704-2229