Patient Forms

Preparing for your first visit

  • Medical History - This form will provide us with basic medical information we need to take the best care of you.
  • Notice of Privacy Practices - The Notice of Privacy Practices (NPP) describes how North Shore OBGyn and Square Care referred to as “Company” may use and disclose a patients’ Protected Health Information (PHI). It also describes patients’ rights with respect to PHI and the legal obligations of the Company as per the requirements of the HIPAA Privacy Rule.