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Forms and Resources


Interior Women's Health is dedicated to making health care for women streamlined, comfortable, and personal. We have provided some of our most used forms for download here. Click the link, the file will download to your computer for printing or editing with any PDF program. You can then Fax, Bring in the form, or email


NAMS MonaLisa 

Telemed Consent Form 

Release of Information 

Primary Care Pre-Screening Form 

Intake Form 

Employment Application 

Adult Registration 

Adolescent Registration 

Additional Resources 

American College of Obstetrics and Gynecology ("ACOG") - the professional society for OB-GYNs


Physician's Desk Reference - commercially published compilation of manufacturers' package insert on prescription drugs, updated annually


Interior Women's Health
1626 30th Avenue
Fairbanks, AK 99701
Phone: 907-479-7701
Fax: 866-573-6459

Office Hours

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