New Patient Forms

Welcome to Redlands OBGYN Associates! Thank you for choosing us for your care. We are honored to be part of your healthcare journey and look forward to meeting you. To make your first visit as smooth as possible, please complete the appropriate New Patient Forms prior to your appointment.

STEP 1

Please select and fill out only one of the forms below based on the reason for your visit:

These secure forms can be completed digitally and submitted online.

STEP 2

Read Our Guest Policy:

To ensure a calm, safe, and private environment for all our patients, children are not permitted in the clinic. We kindly ask that you arrange childcare prior to your visit.

For our pregnant patients, you are welcome to bring one guest to your appointment. However, your guest will need to wait outside the clinic until you are called in and roomed by our staff. This helps us maintain patient privacy and reduce crowding in our waiting area.

We appreciate your understanding and cooperation as we work to provide the best care experience for everyone.

Hospital-Related Forms

Records Release Form

If you are transferring care from another doctor or facility, or if you have previous medical records that need to be reviewed by Dr. Hage, please complete the form below:

Disability & Maternity Leave Forms

If you need paperwork for disability leave due to pregnancy or surgery, please complete the following form:

For additional information on State Disability Insurance (SDI), Paid Family Leave (PFL), or Family Medical Leave (FMLA), please visit the California Employment Development Department (EDD).

NEED HELP?

If you have any trouble accessing or submitting your forms, feel free to call our office and we’ll be happy to assist you.

📞 (909) 748 – 6065
📍 255 Terracina Blvd, Suite 202, Redlands CA 92373
🕒 M-F, from 8am to 5pm