The below forms can be downloaded and printed.  Please complete the forms before your first visit.  It is important to be thorough and accurate.   

The nurse and Dr. Tucker will review the completed forms with you during your initial visit to Advanced Menstrual Care Center.

The forms are detailed because they reflect our mission to be as complete and thorough as possible when caring for you!

The information on the forms are protected by Federal law.  

Our medical records system is electronic and HIPAA-compliant.  All paper copies are scanned into your electronic records then shredded.