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Obstetrics
Gynecology
Infertility
About Dr. Libson
Contact Us & Hours
About the Staff

David S. Libson,MD
421 E. 7th
Odessa, TX 79761
(432) 333-2900

Midland Exchange
(432) 580-4418

 

 

Forms

Here you will find some of the forms which you will need to complete before your visit. You may download the forms here and complete them ahead of time to minimize time spent in the office before your appointment.

If you have any questions please do not hesitate to call! Mayra and Chasity (pictured) help Dr. Libson provide every patient with the best care possible!

 

 
Forms

New Patient Packet
Patient Information, Medical History, HIPPA Questionnaire and Insurance Authorization

Notice of Privacy Practices

Guide to Self Breast Exams
This link redirects you to the National Breast Cancer Foundation's website.

Informational Handouts - Pregnancy

Obstetrical Handout

Planning a Pregnancy

Basal Temperature Chart

Preterm Labor

Glucose Record

About the Alpha-Fetoprotein (AFP) Blood Test

Cystic Fibrosis Handout

Prenatal Screening Testing

Fish Consumption (Mercury)

Informational Handouts - Women's Health

Colorectal Cancer Screening

Fall Prevention

Fibrocystic Breast Changes

Kegel Exercises

Calcium Guide

Cholesterol Food Guide

Blood Pressure Log Template

Dizziness (Inner Ear) Exercises

10 Good Reasons to Stop Smoking

How Your Body Heals After You Quit Smoking

Breast Fibroadenoma

Breast Pain

Coronary Heart Disease

Oral Contraceptive Benefits

To view the forms and handouts above you must have Adobe Reader installed. You can download it for free using the link below.

 

Copyright 2011 - David S. Libson, MD - All Rights Reserved

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