Forms for New Patients in Newport Beach
Receive Care at Women's Center for Urogynecology
When you come into Women's Center for Urogynecology for cosmetic vaginal rejuvenation procedures in Newport Beach, we want you to be fully prepared. There are a variety of new patient forms that you will need to fill out before we can begin, which we offer here on our website for our convenience. If you would like to fill these out on your own, you can bring them with you and hand them into our caring office staff.
- Our patient forms can be accessed here:
- Patient Questionnaire Form
- Registration Form
- Privacy Acknowledgment
- Financial Policy Forms - Financial Pamphlet
- Financial Policy Forms - Financial Acknowledgment
- Consent for Release of Information from Dr. Hashemi
- Consent for Release of Information to Dr. Hashemi
If you have questions about these forms or the information needed, reach out to us at (949) 207-7915.