Our Documents section contains common forms used in our office.  Please feel free to print the forms you need prior to your visit and bring them to your appointment.  Please call the main reception number (454-7400) if you should have any question concerning any forms contained on this page.

HIPPA Documents

HIPPA Log

Hippa Log information.

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Registration Form

Patient Registration Form
General Patient Information

Galvan OBGYN Information Release 2

Page 2 of the Galvan Release form.

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Consent Form

Galvan OBGYN Information Release Sheet 1

This is for each patient's Release information.  

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Authorization for Release of Information

This is the authorization for release of information sheet.

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We want to be here for you! In the event you need to reach Dr. Galvan after hours we always have daily updated contact information.  Please call the office (454-7400)  and listen for the Dr. on call prompt.  Information is recorded daily to give you the assistance you need!

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