Your First Visit

Let’s get right down to some important details, shall we?  Please see the PATIENT FORMS tab to download and read the following documents:

  • Welcome Letter
  • Notice of Privacy Policies for Bethany Women’s Healthcare

After that, please download and complete the following forms under the PATIENT FORMS tab:

  • Patient Registration Information Form
  • Patient Current Medication Information
  • Authorization to Release Medical Information (Page 1 of 2)
  • Acknowledgement of Review Notice of Privacy Practices and Patient Privacy Policy (HIPAA related) (Page 2 of 2)

Finally, bring your completed forms as well as the following to your first appointment:

  • Photo I.D.
  • Your current medical insurance coverage information including:
  • policy holder’s name and date of birth
  • plan name
  • address
  • phone number
  • ID numbers including the policy number, group number and the member ID number

If you have questions, and especially if you are unable to complete these forms at home, please bring all of the information noted above and arrive 30 minutes before your scheduled appointment so that our front office staff can assist you in completing the necessary information.

Be sure to bring a list of your current prescribed medications, vitamin supplements and herbal remedies including the dosage of each one.

Your timely cooperation is greatly appreciated.  Thank you!

Note: A parent or guardian must accompany all patients under the age of 18 to this appointment.

The paperwork helps us to gather a great deal of health information so that your appointment times can be as useful to you as possible.

During your first visit, you may have a physical exam including a pap smear.  We may also run a series of prenatal labs that will collect information about your health and that of your developing baby.  A urine specimen will be collected to monitor kidney function and a bacterial analysis will check for infection.  Treatment will be prescribed if necessary.

A blood sample will be taken to test your blood type and see if you carry the Rh factor.   Your blood will be tested for any serious infections including Syphilis, Hepatitis B and C, HIV and Rubella; and, your blood count will be an indication if you and your baby are getting enough oxygen.  All of the results will be ready to review with you at your next appointment.  NOTE:  Although the HIV testing is recommended for all pregnant women with the intention of providing the best care to mother and baby, you may choose to decline the HIV testing.