If a year has gone by since your last
appointment, if any health changes have
occurred, or if your address, contact information,
or insurance information have changed, please
print and complete a new form packet.  Please
make sure to sign the current Consent for
Purposes of Treatment, Payment and Healthcare
Operations (HIPPA Consent) and Financial Policy.
Returning Patients
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2931 N. Tenaya Way, Ste. 204
Las Vegas, NV  89128

(702) 233-2123
(702) 233-2938 Fax
Nicole J. Moss, M.D.
Board Certified
Fellow, American College of Obstetrics & Gynecology
(Please review, print if you desire a copy)