Patient Forms and Resources

Everything you need to prepare for your visit, understand your options, and access important information in one place.

Preparing for Your Visit

Starting care with a new healthcare provider often involves paperwork, questions about insurance, and understanding what to expect during your visit. At Taguchi Women’s Clinic in Stillwater, we believe your time should be spent focusing on your health, not filling out forms in the waiting room.

That’s why we provide all necessary patient forms online, along with clear information about our services, payment options, and what to expect during your appointment. Dr. Yasuto Taguchi and our team have designed these resources to help you feel prepared and confident before your visit to our clinic on South Walnut Street.

New Patient Forms

Complete these forms before your first appointment to save time and ensure we have all the information needed to provide personalized care.

Forms Include:

General New Patient Form

Health history, current medications, and contact information

OB-GYN Intake Form

Gynecologic history, menstrual cycle details, and pregnancy history

Aesthetics Consultation Form

Cosmetic concerns, previous treatments, and aesthetic goals

Women’s Wellness Form

Hormone symptoms, lifestyle factors, and wellness objectives

Insurance Verification Form

Insurance details and authorization for benefits verification

HIPAA Privacy Notice

Review and acknowledgment of privacy practices

Insurance and Payment Information

Understanding Your Coverage and Payment Options

We work with most major insurance plans for OB-GYN services and medical treatments. Coverage may vary depending on your provider and specific plan.

Insurance 

Our patient management system helps streamline insurance verification and payment processing. 

Coverage varies depending on your provider and plan. We recommend contacting your insurance company to confirm benefits prior to your visit. 


Self-Pay Options 

Aesthetic services and elective wellness treatments are typically not covered by insurance. We provide transparent pricing for these services so you can make informed decisions about your care.

Flexible payment options are available to help make care more accessible.

Your First Visit Experience

We want your first visit to feel smooth, informed, and comfortable.

Arrival and Check-In

Arrive approximately 15 minutes early to complete any remaining paperwork and verify insurance information.

Comprehensive Consultation

Dr. Taguchi will review your health history and discuss your concerns and goals during a thorough, unhurried consultation.

Personalized Care Plan

Together, we develop a treatment approach that aligns with your health needs and lifestyle.

Scheduling Follow-Up

Our team will help coordinate any recommended treatments or future appointments before you leave.

What to Bring

To help your visit run smoothly, please bring the following:

Secure Patient Portal

Through our secure patient portal, you can access test results, communicate with our team, request prescription refills, and manage appointments.

This platform allows you to stay connected with your care between visits while keeping your information private and secure. New patients will receive login instructions after their first appointment, and our staff is available to assist with setup.

Important Office Policies

Appointment Changes

We understand schedules change. Please provide at least 24 hours notice for cancellations to avoid fees and allow us to accommodate other patients.

Medication Refills

Request prescription refills through the patient portal or by calling during business hours. Please allow up to 48 hours for processing.

After-Hours Care

For urgent medical concerns outside office hours, contact our on-call service. In case of emergency, please go to the nearest emergency room.

Financing Options

Flexible Payment Solutions

We offer financing options to help make treatments more accessible.

CareCredit

Qualified patients may take advantage of financing plans through CareCredit to spread out the cost of treatment.

Specials & Promotions

Current Offers

We periodically offer promotions on select services.

Check back regularly or contact our office to learn about current specials.

Frequently Asked Questions

New patients should complete a general intake form, service-specific forms (OB-GYN, aesthetics, or wellness), insurance verification paperwork, and HIPAA privacy acknowledgment. These can be downloaded from our website and completed ahead of time.

We work with most major insurance plans for medical OB-GYN services. Our team can verify your specific coverage before your appointment using our ModMed system.

We require 24-hour notice for appointment cancellations to avoid fees and ensure we can offer the time slot to other patients who need care.

New patients receive secure login credentials for our ModMed patient portal after their first appointment. The portal allows you to view results, message our team, and manage appointments online.

Aesthetics and wellness services are typically not covered by insurance. We provide transparent pricing and flexible payment options to make treatments accessible.

We are located at 801 South Walnut Street, Stillwater, OK 74074, with convenient parking and easy access from major roads throughout Payne County.

You can schedule by calling our office or using our online request form.

Most services do not require a referral, but this may vary depending on your insurance plan.

Please contact our office as soon as possible so we can assist you.

Forms will be available for download or completion online once finalized.

Need Assistance?

If you have questions before your visit, our team is here to help.

Visit Our Stillwater Clinic

Taguchi Women's Clinic,
801 South Walnut Street,
Stillwater, OK 74074

Phone

(405) 372-6246

Email

gtaguchi@taguchiwomensclinic.com

Hours:

Mon – Thus: 8:30 am – 5:00 pm,
Fri: 8:30 am-12 pm,
Sat – Sun: Closed