Patient Forms - English & Spanish

Patient Forms

Patient Forms

Welcome to Dr. Susan Fox’s Center for Women. For your convenience, please print and fill out all applicable patient forms and present them to the front desk when you arrive for your first office visit.


Patient Info Form

Medical Release Form

Privacy Practices Form

Patient Consent Form


Formulario de Consentimiento del Paciente

Formulario de Información del Paciente

Formulario de Privacidad Prácticas

Formulario de Autorización Médica


Contact Dr. Susan Fox’s Center for Women

Dr. Fox and her team of devoted professionals go the extra mile to ensure their patients are completely satisfied after each appointment, answering any questions a patient may have. If you need a dependable OB/GYN specialist for routine gynecological care or a knowledgeable practitioner to perform a pelvic reconstructive surgery, Dr. Susan Fox’s Center for Women is your most secure option. 

Contact Dr. Susan Fox’s Center for Women today at (305) 595-6488 to be treated by one of the top gynecologists in South Florida or click here to schedule your first exam!