Fowler Gyn International

The Experts in Vaginal Health Care

Paradise Valley
Medical Plaza

5410 N. Scottsdale Rd

Suite B-200

Paradise Valley, AZ 85253



Call (480) 420-4001

Completing Online Medical Questionnaires

At the end of the “Potential Client- Sign Me Up!” registration process, you will be asked to complete two questionnaires and a demographics section. The registration itself only takes about 5 minutes to complete. The medical information questionnaires will require about 7-10 minutes. They can be completed immediately following the registration or you may return at a later time to complete. However, either way the questionnaire portion must be completed in one session; you cannot stop/save/return for completion at a later time.

You will create a User ID and Password during the registration process. This will enable you to log onto the “Established Client” tab where you will find “My Chart Questionnaires.” This is the medically secure portal where you can submit medical information to FGI. Since information cannot be ported automatically from one platform to another, it’s necessary to re-enter your demographics. After arriving on “My Chart Questionnaires” proceed to do the following:

1. Open the Demographics folder and fill in all the required information.

2. Complete each one of the Vaginal Symptom Specific Questionnaires that identifies vaginal symptoms which you consider a problem and complete the General Medical  Questionnaire.

Please do so at your soonest convenience; FGI cannot proceed until this information is submitted. It will help you to have the following information handy:

 A) A list of your medical conditions & surgeries

 B) A list of all your medications, dosage, and frequency of use.

 C) Name and address of your local primary care provider and/or gynecologist. This provider will be sent your recommended treatment protocol if you registered as an Out-of-State Client and an MeMD provider is not available in your area or does not provide these services.

You will be notified by e-mail whether the consulting services provided by FGI appear appropriate for your condition. If you are not accepted as a client, then your full registration fee will be reimbursed. If you are accepted as a client, then expect to receive a phone call or e-mail notice as to how to proceed.

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