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Patient Forms

New Patient Registration

To save time in the office, please fill out the following forms and bring them with you to your first appointment:

Just Us Women Health Center Policies

Notice of Privacy Practices

Patient Registration

Annual Forms

If you are coming for your annual women's health visit, please fill out these forms and bring them with you to your appointment:

Wellness Update Form

Medicare Forms

If you have Medicare Part B and supplemental health insurance, we are required to notify you of specific billing practices:

Medicare Insurance Waiver - requires a new signature annually


Monday: 8-4

Tuesday: 9-noon

Wednesday: 9-5

Thursday: 9-5

Closed Fri - Sun

Please call office for updates regarding closures during the Covid-19 outbreak!


Just Us Women Health Center, Inc.

550 North Main St., Suite 3

Attleboro, MA 02703


Phone: 508-699-7800


Fax: 508-699-7801