Patient Resources

Dear Patients,

We want you to feel welcome and comfortable at Ruch OBGYN, and that involves having the resources to stay informed of the office processes and operations we use to deliver better, more efficient service. All pertinent information regarding appointments, electronic medical records, outpatient and inpatient care protocol, prescriptions, and billing is available right here on our site.

Additionally, we invite you to download our patient forms and fill them out prior to your appointment to ensure that your time with us is focused on your care.


Patient Forms

For Our NEW Patients

To provide you with the best possible care, we need the most up-to-date information about you. Please help us provide the best health care for you by completing all pages of the below forms and bring with you to your appointment.

1)  Patient Information Form

2)  New Patient History Questionnaire

Notice of Privacy Practices

You can view our privacy practices prior to your visit.

Authorization To Release Medical Information

You can print, fill out, and bring in this Authorization To Release Medical Information form if you would like to forward your records elsewhere or if Ruch Clinic needs to release/receive your medical records from another facility.

Blood Sugar Log

For our gestational diabetes patients, click here to print a Blood Sugar Log.


Billing & Insurance

Our billing department will be happy to assist you with questions about your account.  Please contact our office and we will look into any billing or insurance questions you may have.

Phone: 901.682.0630
Fax: 901.322-6200


Request, Cancel or Schedule an Appointment


Please call our office at 901.682.0630 to schedule, change, or cancel an appointment, or use our online Appointment Form.

Our office hours are from 8:00 a.m. to 5:00 p.m. Monday through Friday.

Please notify us at least 48 hours prior to your scheduled appointment if you cannot make it.


Request Prescription Refills

Please call us at 901.682.0630 for prescription refill requests. Prescription refills are handled only during office hours 8:00 a.m. – 5:00 p.m. Monday through Friday when the physicians and nurses have access to your medical record. Some medications may require that you come in for evaluation before we can refill them. Please have the phone number of the pharmacy of your choice available at the time of your call.


Hospital Pre-registration

Pre-register Online

Baptist Memorial Hospital for Women at

Methodist Le Bonheur Germantown Hospital at