**Want more? Check us out on Instagram to learn more about our providers and the conditions we treat @jillkrapfmd

Washington Clinic

3 Washington Circle NW, Suite 205,

Washington, DC 20037

Phone: (202) 887-0568 Fax: (202) 659-6481

New York Clinic

2 W. 46th St., Suite 403, NY,

NY 10036

Phone: (202) 887-0568 Fax: (202) 659-6481

*We recommend visiting www.parkingpanda.com for information regarding available parking near our office.

All new patients are required to fill out both our registration form and questionnaire below. The questionnaire is comprised of 146 questions and takes, on average, approximately 45-60 minutes to complete.

PLEASE NOTE: The General Medical History Form is not required unless you are coming in solely to undergo a well-woman exam:

registration form

This form must be completed within 24 hours of scheduling your appointment
>> Click here to fill the form

Vulvar Pain Questionnaire

This form must be completed no later than one week prior to your appointment (or within 24 hours if you scheduled the appointment within a week of the appointment date).
You cannot be seen unless this questionnaire has been completed. Please allow at least 60 minutes to complete this very extensive questionnaire.
>> Click here to fill the form

General Medical History

If you are a new patient coming in for routine gynaecology appointment (Well Woman Exam) then you must fill out this form as well.
>> Click here to fill the form