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Patient Forms

Are You A New Patient To FWMG?

Please download, print, and fill out our new patient form before your office visit. Our staff will collect these documents from you upon arrival.

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IMPORTANT: On your first visit, please arrive 30 minutes early with your paperwork fully completed.

Our new patient PDF document includes the following documents pertinent to all new patients of FWMG:

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Welcome to Fresno Women’s Medical Group (1 Page)
What is an Annual Exam (1 Page)
Patient Registration Form (1 Page)
E-Prescribing PBM Consent Form (1 Page)

Fresno Women’s Medical Group Office Policy (2 Pages)
Patient/Family History Forms (5 Page)
Telemedicine/Televideo Consent (1 Page)

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Notice of Privacy Practices: This documents how Fresno Women’s Medical Group handles protected health information as guided by HIPAA. Copies are posted in the office and available to our patients at any time.

Make A Payment

We Accept Care Credit. Click Here to Apply.

Patient Portal

We now have a patient portal so you can access your information online. Please visit MyChart Patients Click Here to access it.

Fresno Women's Medical Group  |  All Rights Reserved 2024 ©

For informational purposes only, a link to the federal Centers for Medicare and Medicaid Services (CMS) Open Payments web page is provided here. The federal Physician Payment Sunshine Act requires that detailed information about payment and other payments of value worth over ten dollars ($10) from manufacturers of drugs, medical devices, and biologics to physicians and teaching hospitals be made available to the public. https://openpaymentsdata.cms.gov

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