Appointments & Forms

First time visiting our office?
Welcome to Dr. Tamila Selitsky, OB-GYN, P.C.!

In order to expedite your visit, please make sure to provide us with your current insurance company and member ID number so we can verify your eligibility and benefits prior to your visit.
Bring in your insurance and photo ID, the day of your visit.
If you have any medical records that you would like the doctor to review, please bring them in with you.
Fill out the forms below prior to your visit.

No Pets Allowed

For the safety and comfort of all our patients and staff, pets are not permitted in our medical office. Due to allergies and the nature of surgical procedures performed here, maintaining a sterile and controlled environment is essential. We appreciate your understanding and cooperation.

We look forward to seeing you soon!

Patient Forms

Fill out online patient intake form

Downloadable forms

Patient Intake Forms