What to Bring - All Seasons OB GYN

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Patient education tutorials (ViewMedica)
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(Healthwise Interactive health library)
http://www.modernmedicine.com/patienteducation
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http://www.lesliehardick.com/new-patients.html
http://www.highriskpregnancydoctors.com/education-maternal-fetal-doctors-harrisburg.html
http://www.southtexaswomenshealth.com/
http://www.gormd.com/
HOME
Welcome to Stansbury Springs Obstetrics & Gynecology
210 Millpond, Stansbury Park
At Stansbury Springs Obstetrics & Gynecology, Cullen Archer, MD and his staff serve the OBGYN needs
of women in a sensitive, considerate and confidential environment. Our mission is to provide the highest
quality of care in a calm and compassionate atmosphere where patients feel important and well
informed. From childbirth to menopause, we specialize in routine obstetrics, high-risk obstetrics, and
gynecologic care from adolescence to menopause.
Digichart Patient Portal
Prescription Renewal Request Form:
Example@ https://www.spartanburgob.com/onlineserve/prescription.php
Services and Procedures
Obstetrical Care
We provide a large selection of prenatal services for pregnant women, from routine care for the healthy
mother, to the most sophisticated care for the complicated pregnancy. We work together with maternal
fetal medicine specialists to provide care to the high-risk pregnancy. These specialists can perform CVS,
amniocentesis, percutaneous umbilical cord sampling, Level II Ultrasound, and Doppler Flow studies.
Prenatal consultations and preconception counseling are also available.
Our dedication to in care excellence during pregnancy, labor, and delivery, means we’ll keep you
surrounded by the best medical team available in the region. During your pregnancy we’ll closely
monitor your progress to ensure the best possible quality of care.
Services:
1. Preconceptional counseling and genetic testing
2. Routine prenatal care
3. Management of abnormal intrauterine pregnancy
4. Management of ectopic pregnancy
5. Gestational trophoblastic disease
6. Antepartum genetic counseling
7. Fetal imaging
8. 4D Ultrasound (Fetal Photo) through MWMC Radiology
9. Deliveries at Mountain West Medical Center
10. Cord blood collection for cord blood banking
Dr. Archer's experience also enables him to provide Obstetrical care for women with obstetrical or
medical complications, such as:
1. Hypertension
2. Preterm birth
3. Postterm pregnancy
4. Fetal growth disorders
5. Multifetal gestation
6. Reproductive tract abnormalities
7. Cardiovascular disease
8. Pulmonary disorders
9. Thromboembolic disorders
10. Renal disorders
11. Gastrointestinal disorders
12. Hematologic and immunologic disorders
13. Diabetes
14. Thyroid disorders
15. Neurologic disorders
16. Neoplastic diseases
17. Infectious and sexually transmitted diseases
18. Recurrent pregnancy loss
19. Cervical incompetence
20. Abnormal placentation
Gynecology
Dr. Cullen Archer provides comprehensive gynecologic care from adolescence through menopause. It is
important to partner with a sensitive and skilled gynecologist who can monitor your health and diagnose
and treat gynecologic conditions at every stage of your life.
Some of the services provided include:
First GYN exam for adolescents
Annual gynecologic exams
Family planning/contraception counseling
Infertility evaluation and management
Management of abnormal PAP smears
Human Papillomavirus (HPV) vaccination
Genital warts and other sexually transmitted infections
Evaluation for gynecologic malignancies
Evaluation of abnormal uterine bleeding
Management of dysfunctional uterine bleeding
Incontinence evaluation and management
Pelvic organ prolapse (defects in pelvic support)
Perimenopause care
Menopause management and hormone therapy
Uterine Fibroids
Endometriosis
Chronic pelvic pain
Polycystic ovarian syndrome
Dr. Archer provides a full range of gynecologic services on both an ambulatory and in-patient basis.
Services are devoted to address the individual needs and concerns of patients. We provide routine and
preventive care services as well as a full range of minimally invasive surgical procedures. Some of these
procedures include:
Implanon
Mirena IUD
Paraguard IUD
Colposcopy
Endometrial biopsy
Pelvic ultrasound
Sonohysterogram
Hysterosalpingogram (performed at MWMC Radiology)
Diagnostic and Operative Hysteroscopy
Dilation and Curettage
Novasure endometrial ablation
Hydrothermic endometrial ablation
Thermachoice endometrial ablation
Essure
Laparoscopic tubal sterilization
Loop Electrosurgical Excision Procedure
Cold Knife Conization
Myomectomy
Vaginal hysterectomy
Laparoscopic assisted vaginal hysterectomy
Abdominal hysterectomy
Tension free urethral sling
Burch retropubic urethropexy
McCall's and Halban's culdoplasty
Anterior and posterior colporrhaphy
Sacrospinous ligament colpopexy
Diagnostic laparoscopy
Laparoscopic oophorectomy
Laparoscopic ovarian cystectomy
Laparoscopic salpingectomy
Laparoscopic salpingostomy
Laparoscopic fulgaration of endometriosis
Patient education
http://www.acog.org/publications/patient_education/
Interactive tutorials
- ViewMedica videos
- http://www.healthwise.org/mhc_phy_clin.aspx
Approved OTC Medications
If needed, you may use these over the counter medications. However, we advise you to avoid
taking any unnecessary medications during the first 12 weeks of pregnancy. If you have
questions or concerns, please call our office or speak with your provider.
Pain Medication
Nausea
Tylenol (acetaminophen) or Extra Strength
Tylenol
DO NOT USE: Aspirin, Motrin , Advil
(Ibuprofen), Aleve (unless specifically told to
by your healthcare provider)
Try small frequent meals.
Ginger Ale, Vitamin B6, Sea Bands
Unisom 25mg tablets NOT capsules (1/2 tablet
30 minutes before breakfast, before lunch,
before dinner. 1 tablet at bedtime.)
Anthistamines
Heartburn, Indigestion, Gas
Benadryl
Tums , Rolaids , Gas-X , Mylanta (safe to use for
first 12 weeks), Zantac, Maalox, Pepcid
DO NOT USE: Pepto-Bismol in 3rd trimester
Decongestants
Cough/Colds
Sudafed (pseudoephedrine)
Robitussin (cough)
Insomnia
Yeast Infections
Unisom 25mg tablets NOT capsules (1 tablet
at bedtime)
Monistat
Hemorrhoids
Constipation
Preparation H, Tucks
Colace, FiberCon, Citrucel, Metamucil,
Milk of Magnesia, Fiberall
Your Visit
What to Bring
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Photo ID (If address on ID does not match address in our records, other proof of identification
must be shown)
Health Insurance Card/Information
A friend or family member to take notes/help with questions
A list of all medications you are taking
A list of your questions /concerns
Copies of records from doctors related to your visit with us
Completed office forms
A parent or legal guardian must accompany any minor patient (under age 18) for the first visit.
Accompaniment for subsequent visits will be discussed during the initial visit.
Patient Forms
We provide all new patient forms online so you can complete them in the convenience of your own
home. You may download and print any of the office forms listed below. Your completed forms can
either be brought to the office at the time of your visit, or fax them to us prior to your appointment.
To view the forms listed below, you will need Adobe Reader.
free at www.adobe.com
You may download Adobe Reader for
Patient Registration Form
HIPAA Privacy Acknowledgement and Consent
Financial Policy & Agreement
Consent for Release of Information
Insurance and Billing
List
Non-Participating Insurance Companies
We participate with most insurance carriers. If we do not participate with your insurance company, we
will submit claims for you as a courtesy. If the insurance company does not pay within 45-days, you will
be responsible for payment of all charges.
Non-Covered Services
In the event that your health insurance plan determines a service to be “not covered,” you will be
responsible for the complete charge. Should this occur, we will bill you and payment is due upon receipt
of that statement.
Payments
Co-pays, Deductibles and Co-Insurance are a contract between you and your insurance carrier, and are
due at the time of service. Some contracts require more than one co-pay on the same date of service if
you have two different types of exams or procedures done. Your co-pay and/or deductible is due at the
time of service, unless prior arrangements have been made with our office.
Prior Authorizations
If your insurance requires pre-approval or referrals to our practice, it is your responsibility to ensure that
the referral has been made.
Insurance Forms
We will complete the medical portion of insurance forms for you. Please allow 3-5 business days for
completion of disability, compensation, or insurance forms.
For Questions
Please speak with our billing staff if you have any questions about your account. We want to work with
you to avoid any financial problems and to ensure that your account remains in good standing. Please
contact our billing office if you have any financial questions or concerns about your account at (435)
843-2708.
Contact Us
GENERAL FORM:
Your feedback and questions are important to us. Please contact us and let us know how we
can assist you.
NOTE: DO NOT USE THIS FORM FOR ANY QUESTIONS RELATED TO PATIENT CARE OR TO
REQUEST AN APPOINTMENT. PLEASE CALL OUR OFFICE.
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