Patient Forms



We are happy to announce that all patient forms needed for your appointment are now completed electronically.

  • About 5 days prior to your scheduled appointment, you will be notified of any forms that need completion by email. The email will take you to our Patient Portal, where you can electronically complete any necessary forms.  You may also access the Patient Portal from this website.
  • You MUST complete all forms on the Patient Portal prior to the visit.  Patients who do not complete the online forms will not be able to be seen.  Paper forms are not available.
  • Please click the SUBMIT button once each form is complete so that we will receive them.


Patient Portal

We are pleased to provide patients with secure, 24/7 access to their health records through the Patient Portal. Patients can safely and easily:

  • Request prescription refills
  • Update insurance/demographic information
  • Review financial statements/make secure payments
  • View lab and test results
  • Access relevant health education materials  

Patient Portal Login

We accept many insurance plans. For questions about insurance, please contact our office.

Blue Cross Blue Shield
United Healthcare
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Feel free to email us regarding any scheduling or general questions!

Email Address
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Advanced Urogynecology
260 Lookout Place
Suite 201
Maitland, FL 32751