Karen Goodrich, M.D., F.A.C.O.G.

Patient Forms

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The following forms are available for your use prior to your appointment.
 

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Please click on title of form to download.
 
*Please use the Revised Authorization For Release Of Medical Records Form
 in order to send your records to your new physician. 

Welcome Letter

Patient Registration Form

Health History Form

Notice Of Privacy Policies

Authorization For Release Of Medical Records

Revised Authorization For Release Of Medical Records

Please call 805-548-8545 with questions or concerns.