Pre Appointment Forms
The following forms are provided for you to print and fill out prior to your first visit to Perinatal Associates. This will help give our staff more time with our patients. Thank you.
Please send in your completed forms to us at least 72 hours prior to your appointment via one of the following methods:
EMAIL: forms@panm.com
FAX: 505.843.9646
MAIL: 201 Cedar SE | Suite 405 | Albuquerque, NM 87106
AVAILABLE FORMS
Important Information Regarding Ultrasound Exam
Notice of Privacy Practices Receipt / Authorization to Leave Messages
Request for Restrictions of Protected Health Information
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What to expect on your visit
To maintain the health and safety of your child(ren) and family no children under the age of 15 will be allowed into our clinical areas. PANM sincerely apologizes for any inconvenience that this may cause you and your family. If you need to reschedule your appointment due to this policy please contact our office. Should you have any questions please let us know.
Record Release Forms
The following forms are to release information to Perinatal Associates, or to release information from Perinatal Associates to another party.