Call for an appointment: (954)472-2201

Robert Bass, MD - Plantation, FL
Robert Bass, MD - Plantation, FL

Patient Forms

FEMCARE OB/GYN in Plantation, FL looks forward to having you join our host of satisfied patients. To schedule an appointment, please call us at (954) 472-2201.

Once you have made your initial appointment, we recommend that you download the patient forms below, print them, complete them prior to your arrival and bring them with you to your visit. This will help speed up the new patient registration process and get you in to see the doctor faster. Be sure to bring in your insurance card, necessary referrals and any test results that may have been ordered.

Be sure to bring your insurance card plus any diagnostic films or other test results that may have been ordered or performed by another physician.

INTERACTIVE FORMS:

DOWNLOAD PATIENT FORMS:

BOTOX FORMS

ESSURE FORMS

HEROPTION FORMS

CIRCUMCISION

Please note:  It may take a few minutes to load the forms if you are using a dial-up Internet connection.  If you are unable to view the forms, you may need to download Adobe Acrobat Reader for free by clicking on the icon below. 

adobe reader

Patient Forms

FEMCARE OB/GYN in Plantation, FL looks forward to having you join our host of satisfied patients. To schedule an appointment, please call us at (954) 472-2201.

Once you have made your initial appointment, we recommend that you download the patient forms below, print them, complete them prior to your arrival and bring them with you to your visit. This will help speed up the new patient registration process and get you in to see the doctor faster. Be sure to bring in your insurance card, necessary referrals and any test results that may have been ordered.

Be sure to bring your insurance card plus any diagnostic films or other test results that may have been ordered or performed by another physician.

INTERACTIVE FORMS:

DOWNLOAD PATIENT FORMS:

BOTOX FORMS

ESSURE FORMS

HEROPTION FORMS

CIRCUMCISION

Please note:  It may take a few minutes to load the forms if you are using a dial-up Internet connection.  If you are unable to view the forms, you may need to download Adobe Acrobat Reader for free by clicking on the icon below. 

adobe reader

iHealthSpot
Our Location
Bennett Medical Building
201 NW 82nd Ave, Suite 104, Plantation, FL 33324
(954) 472-2201