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Office Hours

Mon-Thurs 9am - 5pm
Friday 9am - 3pm Closed Sat & Sun

Appointments

Use this feature to schedule your next appointment online

Pembroke Pines

Memorial Hospital West
603 N Flamingo Road
Suite 361
Pembroke Pines, FL 33028
954-432-7900  Office
954-433-4903  Fax

Weston

Broward Health Weston
2300 N Commerce
Parkway
Suite 205
Weston, FL 33326
954-389-3855  Office
954-389-4018  Fax

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Patient Registration Forms

Thank you for choosing Gemini OB/GYN, the offices of Dr.’s Todd Goldberg, Douglas Smith and Suzette Rodriguez. In order to more quickly accommodate you as a patient please select the appropriate forms for your upcoming visit with our office. Please bring the completed forms to the office along with your photo identification and insurance card.

Obstetrical Forms

Gynecological Forms

Patient Update/Insurance-Change-Form

Records Release Form

 

 

 

 

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