Forms and patient resources for Bayside OB-GYN, Providence, Rhode Island

Patient Resources

Click any of the links below to download the necessary forms.

General Forms:

• Authorization for Release of Medical Information Form
• Patient Registration Form
• Notice of Privacy Practices
• Patient Acknowledgement of Privacy Practices
• Patient Confidentiality Form
• Statement of Financial Responsibility / Assignment of Benefit

If you are pregnant, please complete the following forms in addition to the general forms:

• Prenatal Genetic Screen
• New OB Insurance and Patient Responsibility Form
• Women and Infants Preadmission Form