Appointment Forms Picture

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:

FAX:  505.843.9646
MAIL:  201 Cedar SE | Suite 405 | Albuquerque, NM 87106


New Patient Form

Medical History Questionnaire

Cuestionario de Historia Médica

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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.

Disclosure To PANM

Disclosure From PANM

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201 Cedar SE
Suite 405
Albuquerque NM

(505) 764-9535

OUR MISSION: At Perinatal Associates of New Mexico, we provide the finest obstetrical care available to women during their pregnancy, assisting them with any medical complications that arise to ensure the best possible outcome for both mother and baby.