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Women's Pelvic Specialty Care of New Mexico

Comprehensive Gynecological Care

Our Location | (505) 888-0443
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Forms

Forms

Important Patient Forms for WPSC

NOTE: The following forms can be printed with our permission ONLY for the use in conjunction with an appointment with our office. Please fill them out and bring them to your next appointment in order to save wait time.

  • Patient Information Sheet
    Fill out then print.
  • Patient Review of Systems
    Print Only
  • Patient Portal Email Authorization Form
    Print Only
  • Patient History - Self Assessment
    Print Only
  • Notice of Privacy Practices
    Print Only
  • No-Show & Annual Exam Policies
    Print Only
  • Prolapse & Incontinence Questionnaire
    Print Only
  • Medical Release Form
    To Women's Pelvic Specialty Care
  • Medical Release Form
    From Women's Pelvic Specialty Care

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Contact Us

Make a Payment
Phone: (505) 888-0443
Fax: (505) 888-1398

Office & Phone Hours

Monday - Thursday:
8:00am to 4:30pm

Appointment Hours

Monday - Thursday:
9:00am to 4:30pm

4705 Montgomery Blvd NE Suite 201, Albuquerque, NM 87109

Notice of Privacy Practices & Refund Policy · Copyright © 2021 · Women’s Pelvic Specialty Care of New Mexico, LLC