Lankenau Medical Center
100 East Lancaster Avenue, Medical Office Building South, Suite 216, Wynnewood, PA 19096
Main Line HealthCare Bailey & Almonte OB/GYN
About
From babies to bladder issues, mood swings to menstrual pain, our providers at Main Line HealthCare Bailey & Almonte OB/GYN offer personal and compassionate care for women throughout every stage of their lives. We offer treatments for a large range of obstetric and gynecologic conditions and also offer adolescent gynecology and value the role that patient education plays in empowering the patient to make their own knowledgeable decisions about their health.
Main Line HealthCare in Wynnewood
306 E Lancaster Avenue, Suite 400, Wynnewood, PA 19096
Women's Health
Discover how Main Line Health provides comprehensive and compassionate care for women in all stages of life.
New patients
- Patient registration form
- Adult comprehensive health assessment (or use the large print version of the health assessment)
- Administrative authorizations
- Care Everywhere authorization form
- Medicare secondary provider questionnaire
- Medicare health risk assessment form
- Medicare depression screening form
- Patient demographic data sheet
- Instructions for authorization to disclose protected health information (PHI)
- Authorization to disclose protected health information (PHI)
- Main Line Health notice of privacy practices
- Acknowledgement of receipt – MLH notice of privacy practices
- Non-discrimination and availability of services notice
Established patients
To request a copy of your medical records: Authorization for release of medical information form
For your convenience, we have also included links to our three most commonly requested forms: