Three Important Forms are available for downloading and printing. Please fill out the appropriate forms and bring them along to your next visit.

1. Health Questionnaire (five pages)

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2. Financial Policy (one page)

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3. Patient Information (one page)

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A MESSAGE TO OUR PATIENTS ABOUT ARBITRATION

When you become a patient of Newport Beach OB/Gyn Medical Group, you will be asked to sign an arbitration agreement. By signing this agreement you are agreeing that any dispute arising out of the medical services you received is to be resolved in binding arbitration rather than a suit in court. Lawsuits are something that no one anticipates and everyone hopes to avoid. We believe that the method of resolving disputes by arbitration is one of the fairest systems for both patients and physicians. Arbitration agreements between health care providers and their patients have long been recognized and approved by the California courts.

By signing this agreement, you are changing the place where your claim will be presented. You may still call witnesses and present evidence. Each party selects an arbitrator (party arbitrators), who then select a third, neutral arbitrator. These three arbitrators hear the case. This agreement generally helps to limit the legal costs for both patients and physicians. Further, both parties are spared some of the rigors of trial and the publicity that may accompany judicial proceedings. Our goal, of course, is to provide medical care in such a way as to avoid any such dispute. We know that most problems begin with communication. Therefore, if you have any questions about your care, please ask us.

It is our desire to make sure you understand the benefits of arbitration to you, as a patient, as well as to the physician. It is not mandatory that you sign the arbitration agreement. However, we encourage you to do so. It is important for you to know that the rising cost of litigation in the State of California is causing many physicians to discontinue practicing medicine. This is one step to alleviate some of those costs. If you still have further questions about the agreement, please discuss them with your physician at your visit.