Patient Intake

Time is important to everyone these days, and in an effort to improve your experience at The Women’s Clinic of Vancouver, we have published our intake forms online to expedite your visit. Before you leave to your appointment, fill out, print, and sign the form(s) most
appropriate for you.

Patient Forms

If you are a new patient, please complete the following forms:

New Patient Form Patient Profile Form Insurance Form

If you are a returning patient, please complete the following forms:

Established Patient Form Patient Profile Form Insurance Form

Once completed, please return the signed forms to us when you arrive.

Thank you!

Miscellaneous Forms

Disclosure Authorization Form FMLA & Disability Form Request Financial Policy Form