FORMS, LINKS and DOCUMENTATIONS

  Most of our forms are saved as PDF.  If you are unable to view or download these forms, you may not have Adobe Acrobat Viewer installed.  You may install it for free by clicking here.

Patient Forms

The below forms are in PDF format and designed for you to be able to download them, print them, fill them out and bring them into the office.  We do not recommend nor advocate emailing them or  sending them through this site.

PATIENT PAMPHLET
Patient Information Sheet
Patients Rights & Responsibilities
RELEASE OF MEDICAL INFORMATION
HIPPA FACT SHEET
 POLICIES & PROCEDURES
HIPPA Authorization

CONTACT US

 

 
..Calculating Your Due Date

Your due date, an estimated date of when the baby will be born, is based on the length of an average pregnancy — 280 days, or 40 weeks from the first day of your last period.

Using this method of calculation, and assuming that you conceived on the 14th day of 280 days, you weren't officially pregnant during the first two weeks of your pregnancy. You may also be surprised to learn that you're very unlikely to give birth on your exact due date. In fact, the chances of this happening are only 5 percent! You are, however, extremely likely to have your baby within two weeks on either side of this date, because a normal pregnancy can last between 37 and 42 weeks.

A Handy Due Date Formula:

Start with the first day of your last period and count backward three months to get the month in which you will deliver. Add seven to the day of the month in which your last period began to get the due date. For example, if your last period began on August 20, you would count backwards three months to May, then add seven to 20 to get a due date of May 27.  

Click here for an interactive calendar from "What to Expect"

Important and Recommended Links
www.thewrighttouchmassage.com
www.arbonne.com/switchcountry.asp
www.mirena-us.com/index.html
www.matria.com
www.acog.org
www.kmcnetwork.org
www.cms.hhs.gov
www.cdc.gov
www.americanpregnancy.org
www.mypyramid.gov/index.html
www.diabetes.org
www.jfs.ohio.gov
www.osma.org
www.wpafb.af.mil/
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Documentations & Other Forms

The below forms and informative documents are saved as PDF and can be downloaded by clicking on the name. 

MATERNAL SERUM ALPHA FETOPROTEIN (AFP)

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ROUTINE PRENATAL BLOOD WORK and CULTURES

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Ultrasound in Gynecology
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Pregnancy Ultrasound

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NON STRESS TESTS

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Instructions for Suspected Labor

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Amniocentesis
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BIOPHYSICAL PROFILE

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PMS

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BIRTH CONTROL PILLS (Oral Contraceptives)

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MENOPAUSE

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Cervical Cerclage

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Intrauterine Growth Restriction
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NAUSEA/VOMITING PROTOCOL

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Prenatal Care Information and Resources

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POST PARTUM DISCHARGE INSTRUCTIONS
 
More documents coming soon...
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

 

 

 

 

 

 

 

 

 

 

 

 
 

 

INTRODUCING

SPA PACKAGES!
3D/4D UltraSound
Fetal Photography
Military Moms
Massage Therapy
BMI Weight Calculator
 

 

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Genesis OBGYN · 3075 Governors Place Blvd. · Suite 210 · Kettering, OH. 45409 · 937-293-5200

© Copyright 2006 Bruce Banias MD a Limited Liability Company dba Genesis OBGYN.  All Rights Reserved