Patient Forms

Here you will find the important forms and instructions for our women’s health care clinic in Eugene and Springfield Oregon.

Women’s Care

Please submit completed OB/GYN Release of Information forms to our Medical Records department by fax at 541-683-1709.

Records Release – To Women’s Care
Records Release – From Women’s Care
General Information Before Your Surgery
Discharge Instructions after Hysterectomy & Vaginal Surgery
Notice of Privacy Practices (NPP)

 The Fertility Center of Oregon – Reproductive Endocrinology

New Patient Forms

Center for Genetics & Maternal-Fetal Medicine

Medical and Family History
Records Release – To MFM
Records Release – From MFM

Perinatal Associates of Central Oregon

Medical and Family History
Records Release – To Perinatal Associates
Records Release – From Perinatal Associates