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Accepting New Patients
Most Insurances Accepted
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Please click on each form image below to download an Adobe Reader® file of the form. Print, fill out and return the forms at your first appointment. For returning patients, please fill out another Patient Registration Form if any of your personal or insurance information has changed and bring to your next appointment.

Patient Medical History
Authorization to Release Patient Information

Associates in Gynecology, Ltd.
1604 North Main Street  •  Wheaton, Illinois 60187  •  630-260-1818