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 information.
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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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Patient Registration Form
Did you know

We now have 3D Ultrasound for our patients! Our new GE Ultrasound offers the best in 3D/4D imaging to create a memory-making keepsake. Ask any staff member for details!

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!

Our Fax is number 309-454-7471.