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702.892.0660

PATIENT FORMS

To reduce the amount of time spent in our office, please complete the appropriate forms and bring them with you.

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Patient Forms in 

English

  • RU-486 / Abortion Pill (Medical Abortion) [PDF]
    • Ultrasound Exams
    • Important Patient Information
    • Consent for An Early Medical Abortion
    • Birth Control Questionnaire
    • Medical Abortion Checklist
  • Surgical Abortion [PDF]
    • General Information
    • Informed Consent for Abortion Procedure
    • Your Pain Relief (Anesthesia) Options
    • Ultrasound Exams
    • Birth Control Evaluation

Read Only 
» Post-Operation Instructions [PDF]

Optional Print-Out » Appointment Reminder [PDF]

Fichas de pacientes en Español (impresión fuera y completa las formas que aplican a su tipo de servicio)

  • RU-486 / Píldora Abortiva (Aborto Medico) [PDF]
  • Aborto Quirúrgico [PDF]

Lea Sólo
 » Post Operacion [PDF]