11/20/2008 | gynecologist in spokane, debra ravasia, infertility obgyn, women's health connection | tel} 509-465-8885
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Dr. Ravasia

Coming soon...

Within a few weeks, we hope to be able to have our online system of registering as a new patient available. This system will allow you to fill out your medical history online via our secure interactive system. Once it has been reviewed by Dr. Ravasia, it will become part of your medical record, and will be available at your subsequent appointment(s). It will also allow us to enter your demographic information ahead of time, to save time with your check in when you arrive.

In the meantime, the forms that new need to register as a new patient are listed below, and can be printed and filled out to bring with you to your appointment. Alternatively if you wish to fax them to us ahead of time at (509) 789-9013, it will help save some time for you on the day of your visit.

1. New Patient Registration form

2. Medical History form

3. Receipt of Notice of Privacy Practices (to view our Notice of Privacy Practices, please click here)

4. Financial Policy

5. Authorization for Release of Medical Information (please fill out one of these forms for each clinic at which you might have relevant medical records you would like us to obtain). If you can bring or fax this form to us ahead of time, it will expediate the process of having your previous medical records available at the time of your visit.

Dr. Ravasia
Dr. Ravasia
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DR. RAVASIA'S LECTURE SCHEDULE
tel} 509-465-8885    fax} 509-789-9013   info@whconnection.com    9425 north nevada, suite 300   spokane, wa 99218 ©2006 Women's Health Connection. All Rights Reserved.
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