Please print and complete the forms below and bring them with you on your first visit to Maternal-Fetal Medicine. This will save you from having to complete the forms in the office.
If you would like, you can mail them to us in advance:
Maternal-Fetal Medicine Center
140 East Ridgewood Avenue, Suite 390S
Paramus, NJ 07652
- Patient Demographic Form (pdf)
- Notice of Privacy Practices (pdf)
- Patient Questionnaire (pdf)
- Release of Patient Records and Information (pdf)
- Authorization to Discuss Health Information (pdf)
If you have any questions, please feel free to give us a call, 201-291-6321. Our office is open from 9 a.m. to 5 p.m., Monday through Friday.