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GYNECOLOGY

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  • About
    • About Doctor
    • About Clinic
    • About GYN Exam
    • About Nataliya Toib, Nurse Practitioner
  • Our Services
    • Primary and Preventive care
    • Evaluation and treatment of GYN diseases
    • Infertility – evaluation and treatment
    • Intrauterine Insemination with Zymot Fertility System
    • Office Procedures
      • Colposcopy and Cervical Biopsy for abnormal Pap test
      • Vaginal, Vulvar, Endometrial (Uterine) Biopsies
      • Contraceptive Devices and Implants Insertion and Removal
        • IUD
        • Nexplanon
      • Bartholin’s cyst and abscess treatment
      • Hysterosonogram
      • Diagnostic Hysteroscopy
      • Ultrasound
    • Surgeries
      • Myomectomy for fibroid uterus
      • Diagnostic Laparoscopy and Biopsy
      • Robotic Laparoscopic surgery
      • Different types of hysterectomies (Abdominal Laparoscopic and vaginal)
        • Laparotomy
        • Laparoscopic surgery
        • Vaginal hysterectomy
      • Diagnostic and Operative Hysteroscopy
      • D & C
      • Endometrial ablation for heavy bleeding
      • Laparoscopic Ovarian Cyst removal
      • Laparoscopic and Hysteroscopic Tubal Ligations
      • Pelvic Organ Prolapse surgical correction
      • Cervical Excision including LEEP
      • Hysteroscopic (MyoSure) fibroid and polyp removal
      • Hysterosalpingogram
    • Tubal Ligation
    • Post-operative care after
      • Hysteroscopy
      • Laparoscopy
      • Laparoscopic hysterectomy
      • Laparoscopic surgery
      • Vaginal surgery
      • Cervical excision/LEEP
      • Dilation & Curettage
    • PRP procedures in Gynecology
    • IV Nutritional Therapy
      • Patient Forms
        • Medical History
    • Bio-Identical Hormone Replacement therapy
    • Lipotropic “Fat Burning” injections
    • Emsella
    • Ultrasound
  • Minimally Invasive Surgery
  • Cosmetic Gynecology
    • What is Cosmetic Gynecology?
      • Non surgical procedures
      • Surgical Procedures
    • Lesion Removal with Ellman
    • Pre-operative Instructions for Cosmetic Genital Surgery
    • Post-operative aftercare
      • Hymenoplasty / Minor Perineoplasty
      • Perineoplasty AND/OR Vaginoplasty
      • Vaginoplasty/Perineoplasty PLUS Labiaplasty AND/OR Clitoral Hood Reduction
      • Labiaplasty/Clitoral Hood Reduction
  • Medical conditions
    • Patient information from ACOG
  • Patient Forms
    • Arbitration Agreement 2024
    • Privacy Practices Addendum 2024
    • Procedure consent
    • Authorization for release of medical records
    • Privacy Notice
    • Patient Responsibility Form Agreement 2024
    • Patient Registration Form 2024

Medical History Form

GYNECOLOGY > Medical History Form
  • Arbitration Agreement 2024
  • Privacy Practices Addendum 2024
  • Patient Responsibility Form Agreement 2024
  • Patient Registration Form 2024
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  • Procedure consent
  • Authorization for release of medical records
  • Privacy Notice

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  • Primary and Preventive care
  • Evaluation and treatment of GYN diseases
  • Infertility – evaluation and treatment
  • Intrauterine Insemination with Zymot Fertility System
  • Office Procedures
  • Surgeries
  • Post-operative care

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  • Home
  • About
    • About Doctor
    • About Clinic
    • About GYN Exam
    • About Nataliya Toib, Nurse Practitioner
  • Our Services
    • Primary and Preventive care
    • Evaluation and treatment of GYN diseases
    • Infertility – evaluation and treatment
    • Intrauterine Insemination with Zymot Fertility System
    • Office Procedures
      • Colposcopy and Cervical Biopsy for abnormal Pap test
      • Vaginal, Vulvar, Endometrial (Uterine) Biopsies
      • Contraceptive Devices and Implants Insertion and Removal
        • IUD
        • Nexplanon
      • Bartholin’s cyst and abscess treatment
      • Hysterosonogram
      • Diagnostic Hysteroscopy
      • Ultrasound
    • Surgeries
      • Myomectomy for fibroid uterus
      • Diagnostic Laparoscopy and Biopsy
      • Robotic Laparoscopic surgery
      • Different types of hysterectomies (Abdominal Laparoscopic and vaginal)
        • Laparotomy
        • Laparoscopic surgery
        • Vaginal hysterectomy
      • Diagnostic and Operative Hysteroscopy
      • D & C
      • Endometrial ablation for heavy bleeding
      • Laparoscopic Ovarian Cyst removal
      • Laparoscopic and Hysteroscopic Tubal Ligations
      • Pelvic Organ Prolapse surgical correction
      • Cervical Excision including LEEP
      • Hysteroscopic (MyoSure) fibroid and polyp removal
      • Hysterosalpingogram
    • Tubal Ligation
    • Post-operative care after
      • Hysteroscopy
      • Laparoscopy
      • Laparoscopic hysterectomy
      • Laparoscopic surgery
      • Vaginal surgery
      • Cervical excision/LEEP
      • Dilation & Curettage
    • PRP procedures in Gynecology
    • IV Nutritional Therapy
      • Patient Forms
        • Medical History
    • Bio-Identical Hormone Replacement therapy
    • Lipotropic “Fat Burning” injections
    • Emsella
    • Ultrasound
  • Minimally Invasive Surgery
  • Cosmetic Gynecology
    • What is Cosmetic Gynecology?
      • Non surgical procedures
      • Surgical Procedures
    • Lesion Removal with Ellman
    • Pre-operative Instructions for Cosmetic Genital Surgery
    • Post-operative aftercare
      • Hymenoplasty / Minor Perineoplasty
      • Perineoplasty AND/OR Vaginoplasty
      • Vaginoplasty/Perineoplasty PLUS Labiaplasty AND/OR Clitoral Hood Reduction
      • Labiaplasty/Clitoral Hood Reduction
  • Medical conditions
    • Patient information from ACOG
  • Patient Forms
    • Arbitration Agreement 2024
    • Privacy Practices Addendum 2024
    • Procedure consent
    • Authorization for release of medical records
    • Privacy Notice
    • Patient Responsibility Form Agreement 2024
    • Patient Registration Form 2024