Patient Info & Forms

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Forms

For your convenience, we’ve made some of our office forms downloadable from our web site so that you can fill them out before coming to the office. Be sure to sign the forms where indicated.

SBOBGYN website PDF forms

These forms are in PDF format. You should have Adobe Acrobat Reader or another PDF viewer already on your computer. But if not, you can get it for free by visiting the link below:

Get Adobe Acrobat Reader

Appointments

  1. Here’s a few things you will need to bring on your next appointment:
    • Insurance Card
    • Picture ID
    • List of current medications
    • List of Allergies
    • Co-Payment is to be paid before services can be rendered
  2. Be sure to be on time or 15 minutes early if forms need to be filled out or updated. If you are more than 15 minutes late for your appointment time, you may be rescheduled.
  3. Any appointment not kept will be charged a $20 broken appointment fee unless you call and cancel the appointment.
  4. Appointments will not be made if your account has been placed with our outside collection agency until the delinquent balance is paid.
  5. If you have Patient First Medicaid, you will need to call your Primary Care Physician to get a referral before your visit to our office. It is your responsibility to get the referral before we will be able to see you.
  6. Contact us to schedule your next appointment or call 251-943-2141.

Prescriptions & Refills

  1. Please allow 24 hours for prescription refills if message is left on nurses line.
  2. Please call your pharmacy for prescription refills and allow 24 hours for prescription to be filled.
  3. Narcotic refills require an appointment with the physician after 3 refill call ins.
  4. Pap Smear must be current for call in refills for birth control or hormone.
  5. If you are on our diet program, you must come in to be weighed each month. Refills on diet pills will not be called in.
  6. Contact us to schedule your next appointment or call 251-943-2141.