Are You A New Patient of FWMG?
Please download, print and fill out our new patient form before your office visit. Our staff will collect these documents from you upon arrival.
IMPORTANT: On your first visit, please arrive 30 minutes early with your paperwork fully completed.
Our new patient PDF document includes the following documents pertinent to all new patients of FWMG:
- Registration Form (1 Page)
- Family History Questionnaire (2 Page)
- Fresno Women’s Medical Group Office Policy (2 Pages)
- E-Prescribing PBM Consent form (1 Page)
- Patient Inquiry Form (6 Pages)
- Notice of Privacy Practices: This documents how Fresno Women’s Medical Group handles protected health information as guided by HIPAA. Copies are posted in the office and available to our patients at anytime.
Click to Download (1.25MB pdf file)
We now have a patient portal so you can access your information online. Please visit http://myhealthrecord.com to access it.