To protect your privacy, Women First requires your authorization before releasing any of your previous medical records. Please use the Transfer to Women First Consent Form to request permission from your previous physician and/or radiology department to release your medical records and existing mammogram films to Women First for our use in your health care.
If you are authorizing Women First to release your medical records to another physician, please fill out the Authorization for Use of Protected Health Information Form and send it to our offices.
We welcome new patients to our practice. To best serve you we ask that you bring a copy of your medical records with you to your initial visit. Additionally, ALL NEW patients must fill out and present a Transfer to Women First Consent Form (if applicable) and transferring obstetrics (OB) patients must fill out an OB History Form for use by Women First of Louisville. All forms are available below for download in Adobe Acrobat .pdf format.
If you have had mammograms performed at another facility and wish to have your mammogram with us, please bring a copy of your most recent mammogram film as well as the written report with you. Our radiologist will use this film for comparison.
If you need your records from your care at Women First transferred to another physician, you need to download and complete this authorization form and give it to us.
You can also call our office at 502.891.8700, press 7, with this request. Please allow 5-7 business days to have your records copied.
Women First of Louisville charges an administrative fee for the completion of certain work-related documents presented by patients. These documents include Disability Insurance Benefits Forms, Family and Medical Leave Act (FMLA) forms, and return to work forms. Typically, your employer or insurance company requires these forms when a medical condition prevents you from reporting to work. A licensed medical professional must sign these documents verifying that the information is correct. In the event that you need Women First to complete one or more of these forms, we will be happy to assist you. The fee for this service is $30 per medical condition.
Please follow these steps to ensure the timely completion of your forms:
- Obtain a copy of the forms from your employer or insurance company.
- Mail or drop off the form(s) at our office. Include a check payable to Women First of Louisville for $30 unless you have previously paid this fee.
- Please allow 3 business days for completion.
Is it Time to Schedule Your Annual Wellness Exam?
Your annual women’s health appointment is a vital part of your health care, and the perfect time to talk to your Care Team about your personal health questions.
Is it Time to Schedule Your Annual Wellness Exam?
What People Are Saying
Alina Zabelle2023-06-14Got me that day very professional clean environmentLisa Webb2023-04-28Dr. Miller is my doctor and I can't say enough good about her and any of the staff I have interacted with. I highly recommend them.Tiffany Enriquez2023-04-25I love Dr. Brown. Hands down, she is an Angel on Earth. I literally would not be here today without her. She always tells me exactly what I need to hear, she stands up for her patients, and has believed in me when I don’t believe in myself. Woman’s health isn’t just gynecological. It’s mental. It’s having someone there to hold your hand when you’re alone. And Dr. Brown continues to hold my hand and I can’t thank her enough. I will forever be indebted to her and will love her forever. I will miss her incredibly and deeply when she retires. Thank you Dr. Brown, for everything. -Tiffany EnriquezWilla S. Tierney2023-03-29Only positive things to say about Women’s First! I always receive excellent communication from support staff and I’m very grateful for the doctor-patient relationship I have with Dr. Rebecca Booth. I frequently speak highly of and recommend this practice to friends, family, and colleagues!Yoselin Ramirez2023-03-18La doctora margarita terraza aun trabaja ahí?
