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OB/GYN

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Please Choose Your Location
New OB Patient Information Form
New GYN Patient Information Form
Existing Patient Information Form
Medical Records Release Form - Incoming to MAHEC
Medical Records Release Form - Outgoing from MAHEC

Note that a fee will be charged if you are requesting the records for yourself. There is no charge for sending records to another facility.

Privacy Practices and Bill of Rights
Wellness Visit Form
New OB Patient Information Form
New GYN Patient Information Form
Existing Patient Information Form
Medical Records Release Form - Incoming to MAHEC
Medical Records Release Form - Outgoing from MAHEC

Note that a fee will be charged if you are requesting the records for yourself. There is no charge for sending records to another facility.

Privacy Practices and Bill of Rights
Wellness Visit Form
New OB Patient Information Form
New GYN Patient Information Form
Existing Patient Information Form
Medical Records Release Form - Incoming to MAHEC
Medical Records Release Form - Outgoing from MAHEC

Note that a fee will be charged if you are requesting the records for yourself. There is no charge for sending records to another facility.

Privacy Practices and Bill of Rights
Wellness Visit Form
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