FORMS
• Medical Record Release Form
• Family & Medical Leave Act (FMLA) Form Request
• Weight Loss Expectations Form
• Review of HRT
• Bio-Identical Hormone Replacement Therapy FAQs
• Bio-Identical Hormone Replacement Therapy Information
• Pellet Insertion Information
• Hormone Therapy Symptom Checklist
• New Patient Medical History
• New Patient Registration
• Notice of Privacy Practices at Santa Fe Ob/Gyn
• Financial Policy Statement and Agreement & Assignment of Benefits
• We also ask that you review the Santa Fe Ob/Gyn Office Policy
If you are an obstetrical patient, please download these additional forms:
• New OB Information Packet
• Approved Pregnancy Medications
• Birth Plan Worksheet