Patient Forms

OBGYN located in Richmond Hill, GA

Financial Statement and Authorization for Treatment

Authorization for Release of Protected Health Information

Patient Consent Waiver for non-covered tests and surgical procedures

Patient Registration Forms, Basic Health Questionnaire

Southside OB/GYN, PC

✆ Phone (appointments): 912-756-3404

Address: 10055 Ford Ave, 5B, Richmond Hill, GA 31324

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