Forms For New Prospective Patients and Current Ones

    Become A Patient At Twin Springs

    PATIENT INFORMATION

    Documents and Forms For New Patients or Updates

    At Twin Springs Medical Center we make sure we have the most accurate and up to date information so that we may properly treat you, keep you safe and generate the best outcomes.

    If you have any questions, concerns or issues with the patient forms, please call your nearest location, our staff is always happy to help.

    For New Prospective Patients and Current Patients

    Downloadable and Printable Patient Documents

    Patient Registration

    Download Form

    HIPAA Patient Disclosure

    Download Form

    Family History

    Download Form

    Financial Policy

    Download Form

    Past Pregnancy Questionnaire

    Download Form

    New Pregnancy Questionnaire

    Download Form

    Women's Health Questionnaire

    Download Form

    Patient Information

    Download Form

    Notice of Privacy Policy

    Download Form

    Review of Systems

    Download Form

    TESTIMONIALS

    I absolutely loved my experience at Twin Springs. Both midwives and Dr. Cain are wonderful. The whole staff is very kind and caring. They went the extra mile to make sure i was well taken care of during my pregnancy. I greatly appreciate everyone at Twin Springs. I highly recommend them.
    D Hern
    Dr.Cain has been such a wonderful doctor thru out my entire pregnancy. I have had a few scares during my pregnancy but Dr.Cain has been here to make sure my son and i are taken care of. He always answers any questions my husband and I have and is always very pleasant patient and professional. I HIGHLY recommend Dr.Cain for your prenatal needs and regular female check ups as well.
    Breanna Wachtel
    Very helpful. Dr. Angie is very kind, explained everything very thoroughly, and answered all my questions. It is nice to find a Doctor who listens and not rush me out as quickly as possible. Also the staff is so very nice and professional. Thank you!
    Melissa Olinger
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    We Accept Most Insurance Providers

    Managed Care Plans accepted are subject to change without warning.

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