Welcome New OB Patients

Fair Oaks Women's Health uses an electronic medical record.

Therefore, we ask that you download and fill out the following forms and then mail them in before your first visit with us as an OB patient. This will save a lot of time when you come in for your first appointment.

Here are all of our OB forms (pdf) bundled into a single download

Use this packet to print out all our OB forms at once - OPTIMIZED for SINGLE-SIDED PRINTING.
If you print this double sided, it will come out weird.

Individual Forms

Welcome to Our Practice: Please read this brief introductory letter from us.

Patient Information Form
You can fill this out online and then print it or save the file to your PC and then fill it in and print it.
There is a space for your signature on this form. Click here for a plain form.

Insurance Information Form
You can fill this out online and then print it or save the file to your PC and then fill it in and print it.
This form also requires your signature. Click here for a plain form.

OB Patient History Form
Please mail this form to us at least 3 days before your first visit.
You should fill out this form whether or not you are a new patient to our practice or a return patient.
If you arrive here and this form has not been filled in yet, it will need to be filled out after you arrive and you might end up being delayed or possibly even missing your appointment.

Privacy Policy. Here is a pdf version of our HIPPA Privacy Notice that you can download.

Office and Financial Policies: Please review our policies so you will know what our expectations are.

Transfer of Care - Records Request Records to be sent to us
If you are transferring your OB care to us, please use this form to request that your previous practice send us a copy of your records. Thank you. Click here for a plain form.

List of our OB Services

Article about Twin Pregnancies
Our group has delivered more than 300 sets of twins. Dr. Jick has delivered more than 200 sets over his career. Click here for our article about Twins.

Congratulations! We look forward to meeting you.