Washington Clinic
3 Washington Circle NW, Suite 205,
Washington, DC 20037
Phone: (202) 887-0568 Fax: (202) 659-6481
**Want more? Check us out on Instagram to learn more about our providers and the conditions we treat @jillkrapfmd
3 Washington Circle NW, Suite 205,
Washington, DC 20037
Phone: (202) 887-0568 Fax: (202) 659-6481
2 W. 46th St., Suite 403, NY,
NY 10036
Phone: (202) 887-0568 Fax: (202) 659-6481
*We recommend visiting www.parkingpanda.com for information regarding available parking near our office.
All new patients are required to fill out both our registration form and questionnaire below. PLEASE NOTE: The General Medical History Form is not required unless you are coming in solely to undergo a well-woman exam:
This form must be completed within 24 hours of scheduling your appointment
>> Click here to fill the form
This form must be completed no later than one week prior to your appointment (or within 24 hours if you scheduled the appointment within a week of the appointment date).
You cannot be seen unless this questionnaire has been completed. Please allow at least 60 minutes to complete this very extensive questionnaire.
>> Click here to fill the form
If you are a new patient coming in for routine gynaecology appointment (Well Woman Exam) then you must fill out this form as well.
>> Click here to fill the form