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.

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

New Patient Forms

New Patient Form (ObGyn)

New Patient Form (Family Medicine)

Referral Form

Patient Financial Responsibility

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

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

To make a payment on your account, please contact our billing department at:
(559)322-2900 ext. 2703

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.

Click here