OB•GYN North

OB-GYN NORTH is the practice of

Christina Sebestyen, MD, FACOG, Andrea Campaigne, MD, Lisa Carlile, CNM, Kathy Harrison-Short, CNM and Liane Miller, CNM
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      • Christina Sebestyen
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      • Martha Schmitz
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Useful Forms

Please save the form you would like below to your computer. Once completed, please fax to 512-425-3829 or bring the form to OBYGYN North on or before your next visit. You will need Adobe Acrobat or a similar PDF Reader to view and print these.

  • Medical Release form
  • Obstetric New Patient Questionnaire
  • Gynecologic New Patient Questionnaire

New Patient Paperwork

  • Financial Policy
  • HIPAA Notice of Privacy Practices
  • Patient Demographic Sign-In Sheet
  • Confidential Communications

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