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The Institute for Female Pelvic Medicine fax number

(215) 855-4715

Female Pelvic Medicine and Reconstructive Surgery

Used for: Reception and processing of referrals, medical records, and appointment-related communications (faxed documents, treatment plans, and test results) between patients, referring clinicians, and the Institute.

Fax destination details

Department
Female Pelvic Medicine and Reconstructive Surgery
Purpose
Reception and processing of referrals, medical records, and appointment-related communications (faxed documents, treatment plans, and test results) between patients, referring clinicians, and the Institute.
Form
New patient medical history form — New Patient Medical History Form (Urogynecology)
Address
1010 Horsham Road, Suite 101, North Wales, PA 19454
Voice phone
215-855-4713

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Complete the medical history form with current medications, allergies, prior surgeries, and symptoms, and bring it to your first appointment.

Official form instructions are published as a downloadable file on the organization's website.

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