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Associates in Central Ohio Obstetrics & Gynecology Inc.

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Patient Forms

Below are links to our forms for patients. Please print these forms and have them completed prior to your scheduled visit. Thank you!

If you are pregnant, please print and fill out these forms prior to your visit:

  • New Obstetrics Patient

If you are a new patient and not pregnant, please fill out these forms prior to your visit:

  • New Gynecology Patient

If you are an existing patient and coming in for your annual well woman exam, please fill out these forms prior to your visit:

  • Annual Exam for Existing Patient

If you need us to send records to you or someone else or need to have another physician send records to us, please fill out these forms:

  • Medical Records Release Form

If you need to update your medical history before your appointment, you can do so here:

  • Interactive Medical Records

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Reynoldsburg

6482 East Main Street
Reynoldsburg , Ohio 43068
Phone: 614-856-0327
Fax: 614-856-3300

Hours:
Mon – Thurs: 8:30 – 5:00
Fri: 8:30 – 4:00

Westerville

575 Westar Crossing, Suite 102
Westerville, OH 43082
Phone: 614-839-5555
Fax: 614-839-5100

Hours:
Mon – Thurs: 8:30 – 5:00
Fri 8:30: – 4:00

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