Welcome to our Appointment site.  

Elizabeth L Schultz,DO,FACOG

  New Patient Forms: Save forms before opening.
    1. Men's Initial Health History
         Women's Initial Health History
    2. Medical Release Form
    3. Lab Authorization Form
    4.  Complete if >40 yr old or
          <40 with family history of 
                 colon cancer 
         a. Colorectal Cancer Info
         b. Colorectal Cancer Consent
    5. Other Initial Forms
         a. Allergy/Sensitivities
         b. Exercise&Emotional Health
         c. Bowel Health Check List

  New Patient Forms: Save forms before opening.
    1. Women's Initial Health History
    2. Medical Release Form
    3. Lab Authorization Form
    4.  Complete if >40 yr old or
          <40 with family history of 
                 colon cancer 
        a. Colorectal Cancer Info
        b. Colorectal Cancer Consent
    5. Other Initial Forms
        a. Allergy/Sensitivities
        b. Exercise&Emotional Health
        c. Bowel Health Check List

  Established Patient Forms 
    1. GYN Annual Forms
    2. Demographic Form
    3. MSQ Questionnaire

Our physician's ability to draw effective conclusions about your present state of health and how to improve it depends, to a significant extent, on your ability to respond thoughtfully and accurately to these written questions and those posed by the clinician during your consultation. 
Health issues are influenced by many factors.  Accurately assessing all of these factors and comprehensively managing them in an individualized treatment plan is the best way to deal with your particular health challenges. 
Your careful consideration of each of the following questions will enhance our efficiency and will provide for more effective use of your scheduled consultation time.       

A "NEW PATIENT" is anyone who has NEVER been seen in our clinic or a 
RETURNING PATIENT we have not seen in over 3 years.
Please fill out all of the pertinent forms for the physician you are seeing and bring them to your appointment.
Failure to do so may postpone your appointment.