Notice of Privacy Practice
Please complete the forms for your provider below and bring them to your appointment with your photo ID, insurance card and co-pay if one is required by your insurance company.
Please arrive 15 minutes prior to your appointment time.
Appointments cancelled without at least 24 hours notice are subject to a $50 cancellation fee.
![los-flower los-flower](https://bendgyn.com/wp-content/uploads/2018/03/los-flower.png)