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Important Information for UnitedHealthcare Medicare Advantage Members

What you need to know »

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  1. Centers And Services
  2. Obstetrics And Gynecology
  3. Your ObGyn Visit: What To Expect
  4. Patient Forms
URL COPIED!

Patient Forms

All forms below open as PDFs; please make sure to fill out completely if form has multiple pages.

  • Authorization to Use or Disclose Medical Records

Brown Health Medical Group, Obstetrics and Gynecology

  • Health History Form (PDF)
  • Prenatal Genetic Screening Questionnaire
  • Patient Registration Form
  • Patient Consent
  • Brown University Health Joint Privacy Notice (PDF)

LPG-Gynecology

  • Gyn New Patient Packet (PDF)
Obstetrics and Gynecology
  • Tips for a Healthy Pregnancy
  • Our Services
    • Birth Control
    • Adolescent Health
    • Advanced Laparoscopic Surgery
    • Colposcopy
    • Endometrial Ablation
    • Fetal Testing
    • General Gynecology
    • General Obstetrics
    • High-Risk Pregnancy Management
    • Immunizations
    • Screening Tests
    • Sterilization
    • Ob-Gyn Ultrasound Services
    • Urodynamics and Incontinence
  • About Us
    • Did You Know?
    • Patient Testimonials
  • Your Visit
    • Insurance and Billing
    • New Gynecologic Patients
    • New Obstetric Patients
    • Patient Forms
  • Ob-Gyn Practitioners
    • About Our Midwives
    • Resources About Midwifery
  • Helpful Links
  • Obstetrics and Gynecology Office Locations
  • The Importance of Annual GYN Exams

Brown University Health, Rhode Island's first health system, was founded in 1994 by Rhode Island Hospital and The Miriam Hospital. A comprehensive, integrated, academic health system with The Warren Alpert Medical School of Brown University, Brown University Health's present partners also include Rhode Island Hospital's pediatric division, Hasbro Children's; Bradley Hospital; Newport Hospital; Gateway Healthcare; Saint Anne's Hospital; Morton Hospital; and Brown Health Medical Group.

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