Welcome to our practice and thank you for giving us the opportunity to partner with you for your healthcare needs.
On this page you will find important forms that we will need fill out prior to your first appointment. Click on one of the two links below, depending on the type of appointment you have scheduled. Print out the forms, fill them out and bring the forms with you to your first appointment, along with your identification and current insurance card. If you choose to fax or email your paperwork prior to your appointment, please bring the originals with you on the day of your appointment.
Should you need any assistance in filling out any of these forms, please feel free to contact us at 702-914-6900. Please arrive 15 minutes early for your first appointment, this will allow our staff to review your paperwork prior to your appointment. Thank you for your cooperation.
If a form does not appear immediately, check the tabs at the bottom or top of your browser to see if it has opened elsewhere within the browser.
We will be more than happy to inform you in detail regarding the information you request and set up an appointment for you!
The medical office of Legacy Women’s Health, OB/GYN will be contacting you to follow up with your request. Thanks you for your submission.
If you need immediate assistance, please don’t hesitate to call us.