Thank you for choosing A Woman’s Place for your obstetric and gynecologic needs. We look forward to continuing to help you reach your medical goals on your terms.

Please arrive 30 minutes prior to your appointment to complete your check-in paperwork. You can also print the forms below, complete them at home and bring them to your appointment for a quicker check-in.

An email notification will be sent to you within 24 to 48 hours of your appointment. Please answer and update all of your health history, demographics, current insurance information, and leave a required credit card on file.

Patient Forms

  • HIPAA Acknowledgement (for all patients)
  • Consent to Release Information (for all patients)
  • Our Financial Policy (for all patients)
  • Records Release (if we need to obtain records from another physician)
  • Mammogram CD Release

Visit Our Office
A Woman's Place
1660 Medical Blvd
Suite 300 & Suite 100
Naples, FL 34110

Phone: 239.513.0053
Fax: 239.596.0900

Opening Hours
Monday - Thursday: 8am - 5pm
Friday: 8am - 1:30pm

After Hours Emergency:
239.498.3227

Please note: We do not prescribe narcotics after hours or on weekends.

Appointment Request

Online appointment requests are not currently available.

To schedule an appointment, please call the office 239-513-0053

Existing patients may use the patient portal to schedule an appoint.

Existing Patient’s Portal