{"id":1451,"date":"2021-09-16T11:47:05","date_gmt":"2021-09-16T11:47:05","guid":{"rendered":"https:\/\/www.toplinemd.com\/myobgynoffice\/?page_id=1451"},"modified":"2026-02-02T05:06:28","modified_gmt":"2026-02-02T05:06:28","slug":"patient-information","status":"publish","type":"page","link":"https:\/\/www.toplinemd.com\/myobgynoffice\/patient-information\/","title":{"rendered":"Patient Information"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-parallax-none nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-background-position:center bottom;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:10%;--awb-padding-bottom:10%;--awb-background-image:url(&quot;https:\/\/www.toplinemd.com\/myobgynoffice\/wp-content\/uploads\/sites\/240\/2021\/06\/patient-resources-patient-forms.jpg&quot;);--awb-background-size:cover;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_6 1_6 fusion-one-sixth fusion-column-first\" style=\"--awb-bg-size:cover;width:16.6666666667%;width:calc(16.6666666667% - ( ( 4% + 4% ) * 0.166666666667 ) );margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_2_3 2_3 fusion-two-third fusion-animated\" style=\"--awb-padding-top:1px;--awb-bg-color:rgba(39,129,133,0.63);--awb-bg-color-hover:rgba(39,129,133,0.63);--awb-bg-size:cover;width:66.6666666667%;width:calc(66.6666666667% - ( ( 4% + 4% ) * 0.666666666667 ) );margin-right: 4%;\" data-animationType=\"fadeInDown\" data-animationDuration=\"0.6\" data-animationOffset=\"top-into-view\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-one\" style=\"--awb-text-color:#ffffff;--awb-margin-top:30px;--awb-margin-bottom:30px;--awb-margin-top-small:20px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h1 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:58;line-height:1.1;\"><strong>Patient Information &amp; Resources<\/strong><\/h1><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_6 1_6 fusion-one-sixth fusion-column-last\" style=\"--awb-bg-size:cover;width:16.6666666667%;width:calc(16.6666666667% - ( ( 4% + 4% ) * 0.166666666667 ) );\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:45px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1352px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_2_3 2_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:66.6666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:2.88%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:2.88%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-1\"><h2>Getting Ready for Your Visit<\/h2>\n<p><em><strong>What to Bring With You <\/strong><\/em><br \/>\nWe ask that you bring your <strong>insurance card<\/strong> and <strong>photo ID<\/strong> with you to every visit. If you have previous medical records, please bring them as well or have them mailed to <a href=\"\/myobgynoffice\/contact-us\/\">our office<\/a>. Your provider will also need a list of all your current medications including the dose and the times you take them.<\/p>\n<p><em><strong>Your Registration Process<\/strong><\/em><br \/>\nPlease plan to arrive to your appointment 15 minutes early to complete the registration process. You may download our registration forms below. Please complete them and bring them with you.These forms are also available in the office. You will also be asked to sign our HIPAA Acknowledgement, as required by law, so that you are aware of our privacy policies.<\/p>\n<p><em><strong>Your Payment<\/strong><\/em><br \/>\nPlease be prepared to pay your deductibles, co-pays, co-insurance or any other amounts due at the time of your visit. We accept a variety of payment options including Cash, Check, MasterCard, Visa or Discover. Please contact our billing office should you have any financial questions or concerns at (561) 368-3775.<\/p>\n<h2>Forms &amp; Policies<\/h2>\n<p>Before your appointment with us, you can quickly and conveniently access our patient forms by login in to your patient portal. If you have not created a patient portal account yet, you can do so by clicking the login image:<\/p>\n<p>This will allow you to return your forms to us via electronic format in a secure fashion. You will also be able to not only complete your required health questionnaire, but request an appointment, request prescription renewals, pay your bill online, and view lab results online and much more.<\/p>\n<p>You can also access these form by clicking on the links below. This is not the preferred option, because you will have to print the completed forms and bring them in for your visit. The patient portal is generally the preferred method.<\/p>\n<p>You can also access these forms here. This is not the preferred option, because not only will have to print the completed forms and bring them in for your visit, but your data will not enter our system automatically.<br \/>\nThe <a href=\"https:\/\/www.myhealthrecord.com\/Portal\/SSO\" target=\"_blank\" rel=\"noopener\">patient portal<\/a> is the preferred method.<\/p>\n<h2>Patient Resources<\/h2>\n<p>For procedure information for gynecology and obstetrics patients, and web resources, <strong><a href=\"\/myobgynoffice\/obgyn-resources\/\">click here<\/a><\/strong>.<\/p>\n<h2>Contact Our Practice Administrator<\/h2>\n<p>For further questions or assistance, please contact our practice administrator by <a href=\"\/myobgynoffice\/request-an-appointment\/\">clicking here.<\/a><\/p>\n<\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_1_3 1_3 fusion-flex-column fusion-animated wh2aboutright\" style=\"--awb-bg-size:cover;--awb-width-large:33.3333333333%;--awb-margin-top-large:0px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:4.8%;--awb-width-medium:100%;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\" data-animationType=\"slideInRight\" data-animationDuration=\"0.6\" data-animationOffset=\"top-into-view\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-2 fusion-sep-none fusion-title-text fusion-title-size-three\" style=\"--awb-margin-bottom:0px;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h3 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:27;line-height:1.5;\"><h3>In This Section<\/h3><\/h3><\/div><ul style=\"--awb-size:16px;--awb-line-height:27.2px;--awb-icon-width:27.2px;--awb-icon-height:27.2px;--awb-icon-margin:11.2px;--awb-content-margin:38.4px;\" class=\"fusion-checklist fusion-checklist-1 fusion-checklist-default fusion-checklist-divider type-icons\" id=\"side-list\"><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon awb-icon-check\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\">\n<p><a href=\"\/myobgynoffice\/your-visit\/\">Your Visit<\/a><\/p>\n<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon awb-icon-check\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\">\n<p><a href=\"\/myobgynoffice\/patient-forms\/\">Patient Forms<\/a><\/p>\n<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon awb-icon-check\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\">\n<p><a href=\"\/myobgynoffice\/practice-policies\/\">Practice Policies<\/a><\/p>\n<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon awb-icon-check\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\">\n<p><a href=\"\/myobgynoffice\/billing-insurance\/\">Billing &amp; Insurance<\/a><\/p>\n<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon awb-icon-check\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\">\n<p><a href=\"\/myobgynoffice\/obgyn-resources\/\">Resources<\/a><\/p>\n<\/div><\/li><\/ul><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-3 hundred-percent-fullwidth non-hundred-percent-height-scrolling fusion-equal-height-columns wh2footerlogos\" style=\"--awb-border-sizes-top:0px;--awb-border-sizes-bottom:0px;--awb-border-sizes-left:0px;--awb-border-sizes-right:0px;--awb-border-color:#278185;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:0px;--awb-padding-right:0px;--awb-padding-left:0px;--awb-background-color:#f0f3f6;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-5 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last fusion-column-no-min-height\" style=\"--awb-padding-top:0px;--awb-padding-right:0px;--awb-padding-left:0px;--awb-bg-size:cover;--awb-border-color:#278185;--awb-border-bottom:15px;--awb-border-style:solid;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-6 fusion_builder_column_1_2 1_2 fusion-one-half fusion-column-first wh2footerlogo\" style=\"--awb-padding-top:40px;--awb-padding-left:12%;--awb-bg-size:cover;width:50%;width:calc(50% - ( ( 4% ) * 0.5 ) );margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-column-content-centered\"><div class=\"fusion-column-content\"><div class=\"fusion-image-element in-legacy-container\" style=\"--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\"><a class=\"fusion-no-lightbox\" href=\"\/myobgynoffice\/\" target=\"_self\" aria-label=\"Women&#8217;s Health Partners\"><img decoding=\"async\" width=\"270\" height=\"100\" alt=\"Women&#039;s Health Partners logo\" src=\"https:\/\/www.toplinemd.com\/myobgynoffice\/wp-content\/uploads\/sites\/240\/2021\/05\/Womens-Health-Partners.png\" class=\"img-responsive wp-image-1140\" srcset=\"https:\/\/www.toplinemd.com\/myobgynoffice\/wp-content\/uploads\/sites\/240\/2021\/05\/Womens-Health-Partners-200x74.png 200w, https:\/\/www.toplinemd.com\/myobgynoffice\/wp-content\/uploads\/sites\/240\/2021\/05\/Womens-Health-Partners.png 270w\" sizes=\"(max-width: 1000px) 100vw, 270px\" \/><\/a><\/span><\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-7 fusion_builder_column_1_2 1_2 fusion-one-half fusion-column-last wh2footerlogo\" style=\"--awb-padding-top:40px;--awb-padding-right:4%;--awb-bg-size:cover;width:50%;width:calc(50% - ( ( 4% ) * 0.5 ) );\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-column-content-centered\"><div class=\"fusion-column-content\"><div class=\"fusion-image-element fusion-image-align-left in-legacy-container\" style=\"text-align:left;--awb-max-width:300px;--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-2 hover-type-none\" style=\"margin-right:25px;float:left;\"><a class=\"fusion-no-lightbox\" href=\"https:\/\/www.toplinemd.com\/why-topline-md\/\" target=\"_blank\" aria-label=\"TopLine MD-RegisterR_Stacked_Logo_rgb_color\" rel=\"noopener noreferrer\"><img decoding=\"async\" width=\"1576\" height=\"376\" src=\"https:\/\/www.toplinemd.com\/myobgynoffice\/wp-content\/uploads\/sites\/240\/2026\/04\/TopLine-MD-RegisterR_Stacked_Logo_rgb_color.png\" alt class=\"img-responsive wp-image-2143\" srcset=\"https:\/\/www.toplinemd.com\/myobgynoffice\/wp-content\/uploads\/sites\/240\/2026\/04\/TopLine-MD-RegisterR_Stacked_Logo_rgb_color-200x48.png 200w, https:\/\/www.toplinemd.com\/myobgynoffice\/wp-content\/uploads\/sites\/240\/2026\/04\/TopLine-MD-RegisterR_Stacked_Logo_rgb_color-400x95.png 400w, https:\/\/www.toplinemd.com\/myobgynoffice\/wp-content\/uploads\/sites\/240\/2026\/04\/TopLine-MD-RegisterR_Stacked_Logo_rgb_color-600x143.png 600w, 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class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div>\n<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":13,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-1451","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.toplinemd.com\/myobgynoffice\/wp-json\/wp\/v2\/pages\/1451","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.toplinemd.com\/myobgynoffice\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.toplinemd.com\/myobgynoffice\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.toplinemd.com\/myobgynoffice\/wp-json\/wp\/v2\/users\/13"}],"replies":[{"embeddable":true,"href":"https:\/\/www.toplinemd.com\/myobgynoffice\/wp-json\/wp\/v2\/comments?post=1451"}],"version-history":[{"count":0,"href":"https:\/\/www.toplinemd.com\/myobgynoffice\/wp-json\/wp\/v2\/pages\/1451\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.toplinemd.com\/myobgynoffice\/wp-json\/wp\/v2\/media?parent=1451"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}