Paperwork

Thank you for choosing Aventa Specialized Women’s Care. Below you will find information and documents necessary for your first appointment with us.

As we become more modern in our approach to women’s care, we’ve upgraded our technology and will no longer be relying solely on paperwork for you to check in, or for us to gather medical information from you.

Our digital solution to streamline this process is called Phreesia. Fast, private, and secure, Phreesia allows you to manage your information stored with us and check in to appointments on your own devices, on your own terms.

You can enter and update information, sign, and co-pay all from the Phreesia system either from your device or any of the Phreesia devices we have at Aventa. Medical errors are reduced and the security of your information is guaranteed.

Please make sure that you arrive at our office at least 20 minutes prior to your appointment to allow us sufficient time to process your paperwork.

Please bring your:

• driver’s license
• insurance card
• list of medications currently being taken
• name and phone number of your pharmacy

Patient Forms:

• Medical History Form
• Authorization for Release of Information
• Patient Information Form
• Provider Notice of Privacy Practices
• Statement of Financial Responsibility
• Mammography Prior Films Release Form

These documents become a part of your permanent record, stored safely and securely at our office.

Also, be sure to read our Notice About Nondiscrimination and Accessibility Requirements.

We look forward to seeing you!

Sincerely,

The Aventa Care Team