Important Forms

Our office will handle your medical records with complete confidentiality. However, if another healthcare provider who is also involved with your care refers you to us, it is customary to send that provider a report of our findings and recommendations. We will provide him or her with such a report unless you instruct us otherwise. We do not release medical records to others without receiving prior written authorization from the patient.

Please use BLACK ink when filling out the forms. Thank you!

New Patient Paperwork
– English Download
– Spanish Download

Medical Records Release Form
– Download

 

If you have any questions or comments please feel free to email us at billings@swhc.net or give us a call.

Location
Shenandoah Women's Healthcare & The Spa at Shenandoah
240 Lucy Drive
Rockingham County, Shenandoah Valley

Harrisonburg, VA 22801
Phone: 540-438-1314
Fax: 540-438-0797
Office Hours

Get in touch

540-438-1314

Shenandoah Women's Healthcare & The Spa at Shenandoah
240 Lucy Drive
Harrisonburg, VA 22801