WashU Ob/Gyn > Patient Information > Gynecologic Oncology > Patient Forms

To help us better prepare for your visit and to save you time, please complete these forms before your first appointment with our gynecologic oncology specialists.

Send before your visit

The family history worksheet below will help our specialists assess your hereditary cancer risk. Please complete this form and, if possible, send it to our Center for Advanced Medicine location prior to your appointment.

Cancer Family History Worksheet (pdf)

Mailing address:
Gynecologic Treatment Center
Center for Advanced Medicine
4921 Parkview Place, Suite 13C
St. Louis, MO 63110

Fax number:
314-362-2893

Bring to your appointment

Health History Form (pdf)

Make an appointment

Call a location below to schedule an appointment with a Washington University gynecologic oncology specialist:

Central West End 
Center for Advanced Medicine
314-362-3181

St. Peters 
Siteman Cancer Center
314-996-6006

West County
Missouri Baptist Medical Center
314-996-6075

When you call, please have your insurance card ready. Your insurance company may require a referral for your visit. If you have any questions please give us a call.
See accepted insurance plans »

Before your visitComplete patient forms »