Information and Forms

We welcome new and returning CWC patients. Our staff is committed to ensuring that the administrative aspects of your visit are handled with the same high level of professionalism and care as medical portion.

Appointment Policy

  • Please arrive promptly and allow 20 minutes to update/complete the required paperwork.

  • You must bring your insurance card and driver's license (or other legal picture id).

  • New patients will need to complete medical history, registration, and HIPAA forms; all patients will need to complete the registration form.

You can print the following forms out as needed, complete them at home, and bring them with you to save some time on the day of your appointment:

Registration Form
HIPAA Use & Disclosure (First time patients only)

Emergencies: Obstetrics and Gynecology often involves emergency procedures, surgical delays, and deliveries. We ask for your understanding, and if we are running behind schedule, our staff may attempt to notify you.

Cancellations: We also request that you arrive promptly for your visit. If you are unable to keep your appointment or are going to be late, please call the office as soon as possible. Cancellations without 24 hours notice or missed appointments may be subject to fees.

Prescription Refills

  • Prescription refills will be processed only for ESTABLISHED PATIENTS who have been seen within the past 12 months.


  • Your chart will be reviewed by your physician and the refill will be called in directly to your pharmacy, within 24 hours of receipt, on the next business day. If your physician feels an office visit is necessary before a refill can be given, you will be notified by phone.


  • One additional month of refill birth control pills can be called in for established patients. This will allow time to schedule an annual visit.


Authorization to Release Medical Records

Capital Women's Care maintains the patient's rights that all medical records are kept confidential according to all federal and state laws.

Federal and State law requires the patient's signature, or that of an authorized personal representative, to release or transfer medical records. The patient records are defined as all records that relate to the health of the patient and are prepared by or under supervision of a health care provider associated with Capital Women's Care.

Patients that provide records from another physician, outside of CWC, are encouraged to retain their own copy as Capital Women's Care cannot provide a copy.

Please click below to print the applicable form:

Records Release TO Capital Women's Care
Records Release FROM Capital Women's Care

Patient Contact List Billing Information

For your convenience you will find the contact information for our billing company below.

If communicating via e-mail, please include your phone numbers so that the billing customer service representatives can contact you. For security purposes, responses will not be e-mailed.

Billing Company - Practice Management Partners
CWC Professional Billing: 800-529-3489
E-Mail: cwcreq@pmptrs.com