Forms can be completed online through the patient portal or you can print them from our website and bring them with you to your appointment.
"Dr.Pilkington is the 5th doctor I've gone to, to try to resolve my issues with post tubal ligation syndrome. He is an excellent doctor, listened diligently to all my issues. I had the tubal ligation [reversal] 9 days ago and I am feeling great. He gave me back the faith I had lost in the medical community."
"Dr. Steven Pilkington is awesome! I love his respect for modesty in what usually is an awkward experience. He delivered two of my babies via c-section and I highly recommend him and this office!"
"Dr. Pilkington is such an amazing OBGYN. He’s very kind and so easy to talk to. He’s amazing at what he does! Thank you"
"Excellent! We absolutely love Dr. Pilkington & Olivia. Everyone at the office is very sweet & caring."
"Dr. Pilkington is very thorough and a caring doctor. He listened to any concerns of mine without trying to rush my appointment. Office staff is also very friendly!"
"It's rare to find an OBGYN that cares about treating "whole woman" rather than issuing birth control as a bandaid. I found everyone that I encountered, especially Olivia, to be very helpful and compassionate."
"Dr Pilkington is a great OBGYN. My wife and I had a great experience throughout the entire pregnancy. Never a complaint from my wife for any of the visits, and delivery day he made everything run so smoothly."
New Patient Forms
Authorization for Release of Medical Information (PDF) - Allows patients to authorize the disclosure of their health information to a designated individual, company, agency, or facility. Autorización De HIPAA Para Divulgar Información Del Paciente
Authorization and Consent for Treatment (PDF) - All patients must provide their consent for treatment, communications (calls, emails, and text messaging), and agreement of financial responsibility. Autorización y Consentimiento Para el Tratamiento
Preferred Contacts (PDF) - Patients are encouraged to complete and return the Preferred Contacts Form but it is not required. Contactos Preferidos
Virtual Visit Policy (PDF) - This policy describes the process for the documentation, maintenance, and transmission of information using virtual visit technology.
Financial Policy (PDF) - This form advises patients of their complete financial responsibility for all medical services received without regard to insurance eligibility or coverage determinations. Política Financiera (PDF)
Notice of Privacy Practices (PDF) - Describes how health information about you (as a patient of this Care Center) may be used and disclosed, and how you can get access to your individually identifiable health information. Please review this notice carefully. Aviso de prácticas de privacidad (PDF)