6400 Brooktree Court, Suite 100, Wexford PA 15090  Phone: 724-933-3310  Contact Us

Patient Registration

Please take a moment to complete the patient registration forms.

You can download the Patient Record of Disclosure form and the insurance/payment/agreement form and bring the signed copies in at your first appointment.

You should also down load the release of medical record form, complete it and send a copy to your former Doctor allowing us to have a copy of your past medical records.

Release of Records

Dr. Tippet would like to review your past gynecological or other applicable records; release of records forms are available for download below. Please print and complete the forms, and send or deliver to your previous physician's office.

We look forward to meeting you. If you have any questions or if we can assist you in any way, please call us. Also, if for any reason you are unable to keep your scheduled appointment, please let us know.

New Gynecology Patient Information

The initial visit consists of a consultation as well as a gynecological examination. If you have not already done so, please verify with our office whether Dr. Tippet participates in your insurance plan. If you are unsure of your benefits for doctors' office visit, you should also contact your insurance company. Please keep in mind that some plans require primary care physician referrals. If you are required to pay for your office visits, the fee for routine gynecological care for new patients is $150; the fee for a complicated gynecological problem is $250.

Secure Online Gynecology Patient Registration Form »


New Infertility Patient Information

The initial visit generally consists of a consultation with your and, if desired, your partner, as well as a gynecological examination. If you have not already done so, please verify with our office whether Dr. Tippet participates in your insurance plan. If you are unsure of your benefits for doctors' office visits, you should also contact your insurance company. Please keep in mind that some plans require primary care physician referrals. If you are required to pay for your office visit, the fee for infertility evaluation is $300.00.

Secure Online Infertility Patient Registration Form »