New Patients

Welcome to our Jacksonville obstetrics and gynecology practice where we are always happy to accept new patients. To make your first visit and subsequent visits easier, you can quickly and conveniently access patient forms from our Jacksonville Beach practice and request an appointment.

Request an Appointment

Request an Appointment

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Call 904-241-9775 during regular business hours to request an appointment.

Request an Appointment

Write “Request an Appointment” on the message widget in the right corner of this page.

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Text “Request an Appointment” to 904-441-6725.

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After the initial message or text, you will have access to “Klara,” our secure HIPAA-compliant messaging platform.

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On weekdays, you should expect to hear back from us the same day. Messages received during the weekend are usually answered on Monday morning. Please do not use “Klara” in the case of an emergency.

Initial Visit Information

On this page you will find links to multiple forms required by our office. In order to provide you with the best possible care, we need the latest information on the current state of your health.

Please take a moment to download and print the forms applicable to your situation.

Please complete all necessary forms prior to your first visit to reduce your waiting time. Initial visits usually take longer than subsequent appointments, so please allow for time accordingly.

Arrive 15 to 20 minutes early to your first appointment to check in and give the forms to our receptionist.

If you have previously been under care of another physician, please bring those records with you or have them sent to our office prior to your first appointment.

New Patient Forms

patient forms

Beaches OBGYN New Patient Forms

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patient forms

Medical Records Release Authorization Form

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patient forms

Minor Consent Form (Under Age 18)

Download
patient forms

Baptist Medical Center Beaches Campus Map

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patient forms

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Notice

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