New Patients

For More Information or To Make An Appointment Please Fill Out The Form Below And Someone From Our Office Will Call You

Communications through our website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. Please visit our Privacy Policy for more information.


On your first visit to Serenity Gynecology and Functional Medicine you will need to bring your

  • Driver License/Photo ID
  • Insurance Card(s)
  • Co-pays, co-insurance and deductibles which are due at the time of service

For General Gynecology visits click the links below to print out your patient forms and have them completed at the time of your visit. If unable to fill them out at home please arrive 20 minutes early to complete. If not completed we may have the right to reschedule.. MEDICARE is not accepted at this time, but we do offer special pricing for self pay patients.

We do not require  the Medical Records Release be completed unless we need to request records from another office.When printing the  Notice of Privacy Forms print only the signature page.

Privacy Forms


Contact Us