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Forms – Fair Oaks Women’s Health

Forms

Forms: All Patients

Welcome Letter

FOWH is affiliated with Huntington Hospital/Cedars-Sinai

FOWH is part of the Huntington Hospital-Cedars-Sinai Healthcare system. We are still the same doctors and staff in the same location providing the same Ob/Gyn medical care that you trust. But there are some changes:

  • Bills and statements will come from Cedars-Sinai. If you have any questions regarding your Cedars-Sinai bill, please call Cedars Patient and Financial Services at 866-803-1777.
  • Our forms have changed. Some are new and some are modified.
  • Our office workflow, systems, hardware and software are being upgraded.

We apologize for any inconveniences or disruptions that might arise from our new affiliation. Please share your concerns with us at any time. Call (626) 304-2626 and ask for the Office Manager.


Ob and Gyn Forms Packets

These are packets of our forms. Print One-Sided.


Bill of Rights


Records Request


Being Referred Handout


California State Disability (SDI)


HIPAA Privacy Notice


Forms: Obstetrics Patients

Obstetrics Forms Packet

Print One-Sided.


Pregnancy Checklist Form


FOWH OB GUIDE


Labor and Delivery (L&D) Registration Form


Birth Plan (Huntington Hospital)


For Scheduled C-section Patients


FOWH Library

Here is a list of downloadable forms for OB patients. This includes CA State Disability Information, FOWH OB information, Huntington Hospital forms, and more.


Prescription for Breast Pump


Postpartum Depression Quiz


Great Book – “Your Pregnancy and Childbirth”

Book: Your Pregnancy and Childbirth

Based on ACOG guidelines and written by the experts in women’s health care, this new 7th edition of Your Pregnancy and Childbirth: Month to Month (2021) gives your patients the most accurate information available about pregnancy, childbirth, labor and delivery, breastfeeding, and the postpartum period.

Forms: Gynecology Patients

Gyn Forms Packet – NEW GYN PATIENTS

Print One Sided. For NEW GYN patients.


Gyn Forms Packet – RETURN GYN PATIENTS

Print One Sided.


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