{"id":1263,"date":"2021-08-27T14:30:43","date_gmt":"2021-08-27T14:30:43","guid":{"rendered":"https:\/\/www.toplinemd.com\/obgyn-specialists-of-south-miami\/?page_id=1263"},"modified":"2021-10-07T13:32:49","modified_gmt":"2021-10-07T13:32:49","slug":"patient-forms","status":"publish","type":"page","link":"https:\/\/www.toplinemd.com\/obgyn-specialists-of-south-miami\/patient-forms\/","title":{"rendered":"Patient Forms"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling fusion-equal-height-columns service-single-first-sec\" style=\"--awb-background-position:left top;--awb-border-sizes-top:0px;--awb-border-sizes-bottom:0px;--awb-border-sizes-left:0px;--awb-border-sizes-right:0px;--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:60px;--awb-padding-right:0px;--awb-padding-bottom:60px;--awb-padding-left:0px;--awb-background-color:#886ea0;--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_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-size:cover;--awb-margin-bottom:0px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-1\"><h1 style=\"text-align: center\">Patient Forms<\/h1>\n<\/div><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:5%;--awb-padding-bottom:5%;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:977.6px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--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-2\"><p>For your convenience, you can print and fill out the appropriate forms prior to your appointment. The forms marked with an * are fillable PDF&#8217;s, which you can directly type on by clicking your mouse and typing in the appropriate spaces. Once you are finished filling out the forms, please print them and bring them with you to your first appointment.<\/p>\n<\/div><div class=\"fusion-text fusion-text-3\"><p><strong><u>Gynecology Forms:<\/u><\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/sa1s3.patientpop.com\/assets\/docs\/113887.pdf\" target=\"_blank\" rel=\"noopener\">New Gynecology Forms<\/a><\/li>\n<li><a href=\"https:\/\/sa1s3.patientpop.com\/assets\/docs\/19160.pdf\" target=\"_blank\" rel=\"noopener\">Patient Registration<\/a><\/li>\n<li><a href=\"https:\/\/sa1s3.patientpop.com\/assets\/docs\/19054.pdf\" target=\"_blank\" rel=\"noopener\">Medical History<\/a><\/li>\n<li><a href=\"https:\/\/sa1s3.patientpop.com\/assets\/docs\/19055.pdf\" target=\"_blank\" rel=\"noopener\">Medical History (Spanish)<\/a><\/li>\n<li><a href=\"https:\/\/sa1s3.patientpop.com\/assets\/docs\/19056.pdf\" target=\"_blank\" rel=\"noopener\">Family History Questionnaire*<\/a><\/li>\n<li><a href=\"https:\/\/sa1s3.patientpop.com\/assets\/docs\/59544.pdf\" target=\"_blank\" rel=\"noopener\">Privacy Forms (English\/Spanish)<\/a><\/li>\n<\/ul>\n<p><strong><u>Obstetric Forms:<\/u><\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/sa1s3.patientpop.com\/assets\/docs\/113886.pdf\" target=\"_blank\" rel=\"noopener\">New Obstetric Forms<\/a><\/li>\n<li><a href=\"https:\/\/sa1s3.patientpop.com\/assets\/docs\/21280.pdf\" target=\"_blank\" rel=\"noopener\">Congratulations &amp; Welcome<\/a><\/li>\n<li><a href=\"https:\/\/sa1s3.patientpop.com\/assets\/docs\/19172.pdf\" target=\"_blank\" rel=\"noopener\">Notice to Obstetric Patients<\/a><\/li>\n<li><a href=\"https:\/\/sa1s3.patientpop.com\/assets\/docs\/19058.pdf\" target=\"_blank\" rel=\"noopener\">Prenatal Testing List<\/a><\/li>\n<li><a href=\"https:\/\/sa1s3.patientpop.com\/assets\/docs\/19059.pdf\" target=\"_blank\" rel=\"noopener\">Medications in Pregnancy<\/a><\/li>\n<li><a href=\"https:\/\/sa1s3.patientpop.com\/assets\/docs\/19053.pdf\" target=\"_blank\" rel=\"noopener\">Patient Registration<\/a><\/li>\n<li><a href=\"https:\/\/sa1s3.patientpop.com\/assets\/docs\/19167.pdf\" target=\"_blank\" rel=\"noopener\">Prenatal Genetic Screening Questionnaire<\/a><\/li>\n<li><a href=\"https:\/\/sa1s3.patientpop.com\/assets\/docs\/19173.pdf\" target=\"_blank\" rel=\"noopener\">Consent for Carrier Screening Testing<\/a><\/li>\n<li><a href=\"https:\/\/sa1s3.patientpop.com\/assets\/docs\/19175.pdf\" target=\"_blank\" rel=\"noopener\">HIV Test Agreement<\/a><\/li>\n<li><a href=\"https:\/\/sa1s3.patientpop.com\/assets\/docs\/19064.pdf\" target=\"_blank\" rel=\"noopener\">HIV Test Agreement (Spanish)<\/a><\/li>\n<\/ul>\n<\/div><\/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 logos-footer\" style=\"--awb-border-sizes-top:1px;--awb-border-color:#dfe5e8;--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:10px;--awb-padding-bottom:0px;--awb-padding-left:60px;--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-2 fusion_builder_column_2_3 2_3 fusion-two-third fusion-column-first\" style=\"--awb-padding-top:40px;--awb-bg-blend:overlay;--awb-bg-size:cover;width:66.6666666667%;width:calc(66.6666666667% - ( ( 0 ) * 0.666666666667 ) );margin-right: 0px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><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=\"\/obgyn-specialists-of-south-miami\/\" target=\"_self\"><img decoding=\"async\" width=\"270\" height=\"100\" alt=\"OBGYN-Specialists-S-Miami\" src=\"https:\/\/www.toplinemd.com\/obgyn-specialists-of-south-miami\/wp-content\/uploads\/sites\/202\/2021\/08\/OBGYN-Specialists-S-Miami.png\" class=\"img-responsive wp-image-1079\" srcset=\"https:\/\/www.toplinemd.com\/obgyn-specialists-of-south-miami\/wp-content\/uploads\/sites\/202\/2021\/08\/OBGYN-Specialists-S-Miami-200x74.png 200w, https:\/\/www.toplinemd.com\/obgyn-specialists-of-south-miami\/wp-content\/uploads\/sites\/202\/2021\/08\/OBGYN-Specialists-S-Miami.png 270w\" sizes=\"(max-width: 800px) 100vw, 270px\" \/><\/a><\/span><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_3 1_3 fusion-one-third fusion-column-last\" style=\"--awb-padding-top:40px;--awb-bg-blend:overlay;--awb-bg-size:cover;width:33.3333333333%;width:calc(33.3333333333% - ( ( 0 ) * 0.333333333333 ) );\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-image-element in-legacy-container\" style=\"--awb-max-width:270px;--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\"><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\/obgyn-specialists-of-south-miami\/wp-content\/uploads\/sites\/202\/2026\/03\/TopLine-MD-RegisterR_Stacked_Logo_rgb_color.png\" alt class=\"img-responsive wp-image-1969\" srcset=\"https:\/\/www.toplinemd.com\/obgyn-specialists-of-south-miami\/wp-content\/uploads\/sites\/202\/2026\/03\/TopLine-MD-RegisterR_Stacked_Logo_rgb_color-200x48.png 200w, https:\/\/www.toplinemd.com\/obgyn-specialists-of-south-miami\/wp-content\/uploads\/sites\/202\/2026\/03\/TopLine-MD-RegisterR_Stacked_Logo_rgb_color-400x95.png 400w, https:\/\/www.toplinemd.com\/obgyn-specialists-of-south-miami\/wp-content\/uploads\/sites\/202\/2026\/03\/TopLine-MD-RegisterR_Stacked_Logo_rgb_color-600x143.png 600w, https:\/\/www.toplinemd.com\/obgyn-specialists-of-south-miami\/wp-content\/uploads\/sites\/202\/2026\/03\/TopLine-MD-RegisterR_Stacked_Logo_rgb_color-800x191.png 800w, https:\/\/www.toplinemd.com\/obgyn-specialists-of-south-miami\/wp-content\/uploads\/sites\/202\/2026\/03\/TopLine-MD-RegisterR_Stacked_Logo_rgb_color-1200x286.png 1200w, https:\/\/www.toplinemd.com\/obgyn-specialists-of-south-miami\/wp-content\/uploads\/sites\/202\/2026\/03\/TopLine-MD-RegisterR_Stacked_Logo_rgb_color.png 1576w\" sizes=\"(max-width: 800px) 100vw, 400px\" \/><\/a><\/span><\/div><div 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-1263","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.toplinemd.com\/obgyn-specialists-of-south-miami\/wp-json\/wp\/v2\/pages\/1263","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.toplinemd.com\/obgyn-specialists-of-south-miami\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.toplinemd.com\/obgyn-specialists-of-south-miami\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.toplinemd.com\/obgyn-specialists-of-south-miami\/wp-json\/wp\/v2\/users\/13"}],"replies":[{"embeddable":true,"href":"https:\/\/www.toplinemd.com\/obgyn-specialists-of-south-miami\/wp-json\/wp\/v2\/comments?post=1263"}],"version-history":[{"count":0,"href":"https:\/\/www.toplinemd.com\/obgyn-specialists-of-south-miami\/wp-json\/wp\/v2\/pages\/1263\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.toplinemd.com\/obgyn-specialists-of-south-miami\/wp-json\/wp\/v2\/media?parent=1263"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}