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Patient Materials

Before coming to our office for your appointment, please print and fill out the forms below. By filling them out beforehand, you can give us complete, accurate information that we will need in order to properly address your concerns. This will reduce the amount of time you spend in the waiting room, allowing us to devote more time to treating and caring for you.

We request that you fill these forms out as thoroughly as possible. However, please leave blank any fields that say "office use only" underneath ("Medical Record Number" for example).

You will need Adobe Reader to view these files. You can download the Adobe Reader here.

If you are interested in learning more about your health care options before coming in for your appointment, below are some resources for information about important gynecological and obstetrical issues.

Breast Self-Exam

Birth Control

STDs and STIs

Other Conditions

Human Papillomavirus (HPV) Vaccine

Surgical Procedures

Obstetrics & Gynecology

Zoe Rodriguez, MD
10 Union Square East, Suite 2B New York, NY, 10003
Phone(212) 844-8590 Fax(212) 844-8501
Click to speak with a representative now