775-829-0573

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WHAT IS A MIDWIFE?
MIDWIFERY SERVICES
women's health services
midwifery / women's health forms
prenatal screening
prenatal diagnosis
maternal fetal medicine
contact

office policies
MATERNAL FETAL MEDICINE FORMS
ACNM philosophy OF care
GENETIC COUNSELING

Maternal-Fetal Medicine
Referral Forms
Please download and complete the first four forms below by clicking the links 

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Patient Information HIPPA Authorization Controlled Substance Questionnaire Genetics/Family History Questionnaire Financial Policy
Optional Counsyl genetic testing handout
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In order to view and use these forms on your computer you will need to have Adobe Acrobat Reader. If you don't have it, Click to download and install it. Unclick the optional offers.

Copyright 2009-1018 Earle Y. Oki, MD, PC
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Hours of Operation:
Monday-Friday 8:00am-4:00pm

1500 E. Second Street Suite 203
Reno, NV 89502
775-829-0573
Fax: 775-329-8528