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Obstetrics and Gynecology Services
Lifespan Physician Group

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  1. Lifespan Home
  2. Lifespan Centers & Services
  3. Obstetrics and Gynecology Services
  4. Your Visit
  5. Patient Forms
Obstetrics and Gynecology Services
  • COVID-19 Preparedness
  • Tips for a Healthy Pregnancy
  • Our Services
    • Birth Control
    • Adolescent Health
    • Advanced Laparoscopic Surgery
    • Colposcopy
    • Endometrial Ablation
    • Fetal Testing
    • General Gynecology
    • General Obstetrics
    • High-Risk Pregnancy Management
    • Immunizations
    • Screening Tests
    • Sterilization
    • Ob-Gyn Ultrasound Services
    • Urodynamics and Incontinence
  • About Us
    • Did You Know?
    • Patient Testimonials
  • Your Visit
    • Insurance and Billing
    • New Gynecologic Patients
    • New Obstetric Patients
    • Patient Forms
  • Ob-Gyn Practitioners
    • About Our Midwives
    • Resources About Midwifery
  • Helpful Links
  • Obstetrics and Gynecology Office Locations
  • The Importance of Annual GYN Exams
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Patient Forms

All forms below open as PDFs; please make sure to fill out completely if form has multiple pages.

  • Authorization to Use or Disclose Medical Records

Lifespan Physician Group, Obstetrics and Gynecology

  • Health History Form (PDF)
  • Prenatal Genetic Screening Questionnaire
  • Patient Registration Form
  • Patient Consent
  • Lifespan Joint Privacy Notice (PDF)

LPG-Gynecology

  • Gyn New Patient Packet (PDF)

Lifespan, Rhode Island's first health system, was founded in 1994 by Rhode Island Hospital and the Miriam Hospital. A comprehensive, integrated, academic health system with The Warren Alpert Medical School of Brown University, Lifespan's present partners also include Rhode Island Hospital's pediatric division, Hasbro Children's Hospital; Bradley Hospital; Newport Hospital; Gateway Healthcare; Lifespan Physician Group; and Coastal Medical. 

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