New Patient Forms

For New Devoted to Women Patients

Devoted to Women has made it easier for first time patients to our Altamonte Springs GYN office by offering health related forms online or as a printable PDF.

• Appointment Request Form
• New Patient Package (PDF)
• Patient Authorization Form (PDF)
• Disclosure Authorization Form (PDF)

Options for Completing Forms

First, select the appropriate online form listed above, complete the form on-line and submit the completed form back to us.  Second, for the other forms, print the forms you selected, fill them out by hand and bring them to your first appointment or third, manually complete the forms and then fax them to our office, prior to your first appointment.

Following your visit to Devoted to Women's Altamonte Springs GYN office, a comprehensive report will be provided to your physician including any findings and recommendations.

In addition to the completed forms, bring all medical records related to your visit including MRI, CT scans and X-ray reports and a list of all medications you are currently taking including vitamins, etc.

• Request an appointment for Devoted to Women
• Get directions to our Altamonte Springs GYN office
• Meet Craig N. deFreese, M.D.

Note: Some of the forms on this page are in PDF format and must be opened using Adobe Acrobat Reader. If you do not have Acrobat Reader installed on your computer, click on the logo, download and install the progrram, then return to this page to download the forms you need. Acrobat Reader is free!