Make an Appointment with Emory Gynecology & Obstetrics

We invite you to call 404-778-3401 to make an appointment. In order to provide the best advice possible during your initial consultation, please provide all appropriate information during your call. You may want to complete a Patient Medical History form. We advise that you are aware of the following prior to your appointment:

  • Please plan to arrive 15 minutes prior to your appointment so that our front desk staff may review your completed forms and prepare you for your visit.
  • Please bring your medical history and records from other healthcare providers that pertain to your visit so that we may better serve your needs.
  • Please bring a valid ID and proof of insurance with you to your appointment.

Please print and complete the appropriate Patient Medical History form(s) and bring it with you on the day of your appointment. We cannot accept the form electronically due to patient confidentiality.


General Gynecology & Obstetrics

New Patient History (PDF)

New Patient History for Minors (PDF)

Patient History Update (PDF)


Prenatal Patient Questionnaire (PDF)

Emory University Hospital Midtown Pre-Registration (PDF)

Family Planning

New Patient History (PDF)

Female Pelvic Medicine & Reconstructive Surgery

New Patient Questionnaire (PDF)

Fecal Incontinence Severity Index and Warner Constipation Questionnaire (PDF)

Interstitial Cystitis Symptom and Problem Indices (PDF)

Voiding Diary (PDF)

Gynecologic Oncology

Patient History (PDF)


The Emory Clinic
1365 Clifton Road
Building A, 4th Floor
Atlanta, GA 30322
Phone: 404-778-3401

The Emory Clinic
Emory University Hospital Midtown
550 Peachtree Street
Medical Office Tower, 8th Floor
Atlanta, GA 30308
Phone: 404-778-3401

Opening February 2016!
The Emory Clinic
Emory Saint Joseph's Hospital
5673 Peachtree Dunwoody Road
Suite 700
Atlanta, GA 30342
Phone: 404-778-3401

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