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At Copperstate OB/Gyn Associates, our practice is recognized as one of the most progressive OB/Gyn groups in Southern Arizona. We have carefully assembled board-certified specialists whose collective expertise ranges from obstetrics through the many facets of gynecology, with a focus on minimally invasive procedures. We care about your health; that’s why our mission is to deliver comprehensive, contemporary and most importantly, compassionate medical care.

We strive to see patients on time, and by completing the following forms in advance, as opposed to
waiting to do them upon your arrival at our office, we can work together to achieve this common goal.

NEW

Patient Packet

PATIENT

Information

MEDICAL

History Form

NOTICE OF

Privacy Practices

ACKNOWLEDGEMENT

of Privacy Policy

CONSENT OF

Health Information

INFORMATION RELEASE

Authorization

ADDITIONAL

Forms

Patient Easy

Pay Consent Form

Patient Easy

Pay Consent Form

Request for

Medical Records

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