Patient Forms & Documents
Complete your new patient forms before your appointment to reduce wait time and ensure a thorough first visit.
Personal information, medical history, and insurance details. Please complete before your first appointment.
Contact office to receive form linkDetailed gynecologic and general medical history including past surgeries, medications, and family history.
Contact office to receive form linkRequired acknowledgment of patient privacy rights and authorization for treatment.
Download HIPAA Privacy Notice (PDF)Forms are also available at the front desk. Call the Lapeer office at (810) 969-4670 with any questions.
Complete Your Forms Before You Arrive
Lapeer Women’s Health partners with Phreesia for secure patient pre-registration. Before your appointment you will receive a text message or email reminder with a link to complete the following online:
- ✓ New patient registration forms
- ✓ Photo of your driver’s license or government-issued ID
- ✓ Photo of your insurance card (front and back)
- ✓ Medical history and health questionnaires
Completing these steps before your visit saves time at check-in and ensures Dr. Andrei has everything she needs to make the most of your appointment.
Questions about the pre-registration process? Call (810) 969-4670.
Accepted Insurance Plans
Lapeer Women’s Health accepts most major insurance plans. Confirm your coverage before your visit by calling either office.
How to Prepare for Your Appointment
A few simple steps before your visit help Dr. Andrei conduct the most thorough evaluation possible.
- Bring photo ID and insurance card
- Bring a list of all current medications and supplements
- Complete new patient forms in advance if possible
- Arrive 10–15 minutes early for a first visit
- Write down your questions and symptoms beforehand
- Bring any relevant prior records, imaging, or lab results
- Avoid scheduling during your menstrual period if possible
- Do not use vaginal creams, douches, or spermicide for 48 hours before
- Avoid intercourse for 24 hours before a Pap smear
- Empty your bladder shortly before the exam for comfort
- Transabdominal: drink 32 oz of water 1 hour before and do not urinate
- Transvaginal: empty your bladder before the exam
- Wear comfortable, loose clothing
- Call the office if unsure which type of ultrasound you are having
- Follow the specific pre-op instructions provided by Dr. Andrei’s office
- Fasting instructions will be given based on your anesthesia type
- Arrange a driver — you cannot drive after general anesthesia
- Disclose all medications including supplements before surgery
- Call (810) 969-4670 with any pre-surgical questions
Office Contact & Fax Information
To send medical records or referral documents, fax to (810) 969-4673. This number applies to both offices.
Schedule Your Visit
at Lapeer Women’s Health
New patients welcome. No referral required for most patients. Online scheduling available 24/7.
Schedule a Gynecologic VisitInsurance plan information is provided as a general guide and is subject to change. Always verify your specific coverage with your insurance carrier and our office prior to your appointment.
Gynecologic care for women of every age
Lapeer Women’s Health — Rochester Hills
2710 S Rochester Rd, Suite 2
Rochester Hills, MI 48307
Serving patients in Lapeer, Rochester Hills, and surrounding communities throughout Southeast Michigan.