Policies & Forms


Our patients’ privacy is very important to us. If you have any questions or concerns, please feel free to contact us.

An electronic copy of our privacy policy is available here.

Authorization for Release of Medical Information (PDF)

Genetic Cancer Screening Form

OB Do’s and Don’ts Med List

Office Policies

Please read these important office policies:

Payment Policy

We are happy to bill your insurance company for you as long as we have current and accurate information. Co-pays, however are due at the time of service and patients are responsible for knowing what that amount is. Non-insured patients must pay in full at the time of service unless they have a payment plan agreement with our billing department. All bills are the responsibility of the patient, we bill insurance companies as a courtesy and convenience to you.

“No Show” Policy

It is the policy and practice of Bay View OB/Gyn to monitor and manage appointment “no-shows”. Any patient who fails to arrive for a scheduled appointment without cancelling the appointment prior to 24 hours of given appointment will be considered a “no-show”. A patient who consistently fails to present themselves for scheduled appointments is considered a “chronic no-show”. A patient who is a no-show more than three times will be dismissed from the Practice.

“Late” Arrivals

It is the policy and practice of Bay View OB/Gyn that a patient who arrives more than 10 minutes after her scheduled appointment time is handled as a late arrival. If the delay is the responsibility of the practice, the patient is received and registered as usual. If the patient is late for reasons not considered to be the responsibility of the practice the patient will be registered and “worked in” as soon as possible. If the patient is 20 or more minutes late, they may have to be rescheduled.

Drug Screening

Bay View Obstetrics & Gynecology may perform drug screening tests at their discretion, most commonly for new OB patients or patients being prescribed narcotics.

After Hours Service

A Bay View OB/Gyn physician is on-call 24 hours a day, seven days a week, 365 days per year to respond to urgent or emergent issues with our patients. Please be respectful and exercise good judgment in using this service to allow the on-call physician to be ready and available for those in critical need.  Questions or concerns not of an emergent nature should be directed during regular office hours when physicians are in the office seeing patients  There is also a physician on-call along with a triage nurse available Monday through Friday from 8:30 a.m. – 5:00 p.m.