New Patients
Thank you for scheduling your appointment at Los Olivos Women’s Medical Group. For information about the group, please see the Los Olivos brochure.
If you are a new patient, please download and complete the following forms prior to your appointment. You can FAX the Demographic information with a copy of the front and back of your insurance card to facilitate checkin for your appointment. The Los Olivos FAX is (408) 356-8569.
If you would like to allow Los Olivos to discuss your medical care with a family member or other designated individual, please also complete the Information Authorization form.
If you are under 18, please also complete the Minor Consent for treatment.
If you are establishing care with a well-woman examination, please download the California State Informational Brochure on Gynecologic Cancers.
Please bring a photo identification and your insurance card to your appointment.
If you are pregnant, please also complete the Ob information forms.
Infertility patients, please also complete the Infertility Questionnaire. More information is located in the Infertility Information section of the Los Olivos website.
If you need to request records from another office, please complete the Record Request form.