Patient Info & Forms
We welcome new and returning Capital Women’s Care patients. Our staff is committed to ensuring that the administrative aspects of your visit are handled with the same high level of professionalism and care as the medical portion.
- Please arrive promptly and allow 20 minutes to update/complete the required paperwork.
- To help your visit go as smooth as possible, you must present the following at your appointment:
- Current insurance card(s)
- Driver’s license or legal photo ID
- Referral forms if necessary
- New patients will be required to complete medical history, registration, and HIPAA forms; all patients will be required to complete the registration form.
Please print and complete the following forms at home and bring them with you to save some time on the day of your appointment:
GYN New Patient Forms
OB New Patient Forms
HIPAA Use & Disclosure (first-time patients only)
Accepted Insurance Plans
Capital Women’s Care participates with most major insurance plans. Please click the link below to view a list of participating insurance companies.
Obstetrics and gynecology often involves emergency procedures, surgical delays, and deliveries. We ask for your understanding, and if we are running behind schedule, our staff may attempt to notify you.
We request that you arrive promptly for your visit. If you are unable to keep your appointment or are going to be late, please call the office as soon as possible. Cancellations without 24 hours notice or missed appointments may be subject to fees.
Feel free to phone in your prescription refill request to the office by calling 410.876.2003, option 2
Prescription refill requests will be sent into your pharmacy twice daily, at 12p and 4pm. Prescription requests received after 4pm and on weekends will be completed the next business day. In order for us to call in your prescription refill, we will need the following information. Patient name, date of birth, medication name and dosage, pharmacy name and location, and a phone number with area code where we can reach you.
Capital Women’s Care maintains the patient’s rights wherein all medical records are kept confidential according to all federal and state laws. Federal and state law requires the patient’s signature, or that of an authorized personal representative, to release or transfer medical records. The patient records are defined as all records that relate to the health of the patient and are prepared by or under supervision of a health care provider associated with Capital Women’s Care. Patients who provide records from another physician, outside of CWC, are encouraged to retain their own copy as Capital Women’s Care cannot provide a copy.
Please click below to print the applicable form:
Records Release TO Capital Women’s Care
Records Release FROM Capital Women’s Care