Find our patient resources and new patient documents all in one place. If you need to make a payment, please click the payment link below.

MAKE AN APPOINTMENT
MAKE A PAYMENT

Find our patient resources and new patient documents all in one place. If you need to make a payment, please click the payment link below.

MAKE AN APPOINTMENT
MAKE A PAYMENT

EVERYTHING YOU NEED IN ONE PLACE

EVERYTHING YOU NEED IN ONE PLACE

EVERYTHING YOU NEED IN ONE PLACE

AZOVA PATIENT LOGIN

Instant message with our office staff
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VALLEY FORMS

If you are a patient at one of our northern offices, please fill out the forms below.

Medical Records Release Form
HIPAA – Notice of Privacy Practices
eRX Consent Form
OB Intake Form
GYN Intake Form

ST. GEORGE GROUP

If you are a patient of our St. George Office, please fill out the forms below.

Patient Registration
HIPAA – Notice of Privacy Practices
Electronic Prescribing Consent Form
FMLA Authorization Form
Medical Records Release Form
Obstetrics Intake Form
Gynecologic Intake Form

PATIENT CODE OF CONDUCT

Patients, their families, staff and visitors are expected to refrain from unacceptable behaviors that are disruptive or pose a threat to the rights or safety of other patients, visitors and staff in an effort to provide a safe and healthy environment.

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