Appointment Forms Picture

Pre Appointment Forms

The following forms are provided for you to print and fill out prior to your first visit to Perinatal Associates. This will help give our staff more time with our patients. Thank you.

Please send in your completed forms to us at least 72 hours prior to your appointment via one of the following methods:

EMAIL:  forms@panm.com
FAX:  505.843.9646
MAIL:  201 Cedar SE | Suite 405 | Albuquerque, NM 87106

AVAILABLE FORMS

Patient Information

Authorization to Leave Messages

Request for Limitations and Restrictions of Protected Health Information

Medical Records Release

Financial Policy

Ultrasound Consent

Notice of Privacy Practices

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What to expect on your visit

To maintain the health and safety of your child(ren) and family no children under the age of 15 will be allowed into our clinical areas. PANM sincerely apologizes for any inconvenience that this may cause you and your family. If you need to reschedule your appointment due to this policy please contact our office. Should you have any questions please let us know.