NEW PATIENTS

WELCOME TO CALIFORNIA MATERNAL FETAL MEDICINE
We're excited to have you visit us!

For your convenience, we’ve posted all of our new-patient forms below, so you can complete your entire registration online before your visit, from the comfort of your home! No need to print, fax or email the forms. Completing this part before your visit will expedite your check-in, and cut down on your wait time.

If you are scheduled for a Maternal Fetal Consult with one of our providers, please complete this Obstetric History Form:

If you are scheduled to speak with our genetic counselor, please complete these additional genetic forms

IMPORTANT NOTE

Patients are permitted to be accompanied by no more than two adults.  Children are not allowed in the exam rooms, and must stay in the lobby, supervised by an adult.

For the health and safety of our patients, California Maternal Fetal Medicine offices have a No-Pets policy.

Although we love animals, we ask that you please leave your pet at home during your visit to California Maternal Fetal Medicine office.

This No-Pets policy applies to:

  • Pets

  • Emotional Support Animals

  • Comfort Animals

  • Therapy Animals

California Maternal Fetal Medicine complies with the Americans with Disabilities Act (ADA) allowing access for all individuals to public places; therefore, we do allow working service dogs to accompany our patients. Service animals are individually trained to perform work or tasks for people with disabilities. Service animals are required to be leashed or harnessed except when performing work or tasks where such tethering would interfere with the dog’s ability to perform the work or tasks.

Service animals are NOT allowed into the ultrasound exam rooms, and will have to stay with a supervising adult in the lobby.

Dogs whose sole function is to provide comfort or emotional support do not qualify as service animals under the ADA. Under ADA regulations that became effective on March 15, 2011, there are no protections for emotional support animals in terms of access to public accommodations and public entities. The Department of Justice has stated that emotional support animals are not protected as service animals under these regulations.

Should you arrive to an appointment with a pet that is not a service animal, you will be asked to remove the animal from our healthcare facility. To avoid any disruption or inconvenience, we ask that you please leave your pet at home.