Patient Forms
Thank you for selecting Dr. Elizabeth Etkin-Kramer in Miami Beach, Florida for your OB/GYN care. To schedule an appointment, please call us at (305) 674-8038 or use our online appointment request form.
Once you have made your initial appointment, you may preregister online by completing the interactive forms below, or you may download and print the forms, fill them out, and bring them with you to your first visit. Completing the forms prior to your visit will help speed up the new patient registration process.
New Patients Downloadable Forms:
- New Patient Intake
- Health History
- Review of Systems
- Notice of Privacy Practices
- Prenatal Risk Assessment
- Easy Pay Form
- Request Medical Records
Established Patients Downloadable Forms:
If any information has changed since your last appointment, please complete these forms and bring them to your next visit.
Please note: It may take a few minutes to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.
