Patient Resources

Forms, instructions, and tools to support your care

Patient Forms and Records

New Patients
Complete your forms before your appointment to streamline your visit.
Established Patients
Established patients do not need to download paperwork.
Requesting Old Records
Use our release form to request prior operative reports, labs, or testing.
What to Bring

Pre‑Operative Instructions

Review your pre‑operative sheet to understand what to expect, reduce anxiety, and prepare your
caregivers. This is the same document included in your pre‑operative packet.

Visit Requirements and Policies

Privacy Practices
Your information is protected under HIPAA‑compliant procedures.
Cancellation Policy
Please call 24 hours in advance to
cancel or reschedule. Arrive 15–30
minutes early
for paperwork. Late
arrivals may require rescheduling.
Hospital Privileges
Dr. Gauta practices at NCH Health System, Naples Community Hospital – North Collier Hospital, and Surgery Center of Naples.

Billing, Insurance, and Payments

Billing Department
Insurance Information
We accept most private insurance plans and Medicare. Some plans require prior authorization.
Note: We are not in‑network for all plans or government programs.

Prescription Support

Prescription Refills
Request refills through your pharmacy.

Frequently Asked Questions

Should I have a full bladder for my tests or procedures?

Ultrasound: not required unless bladder‑specific.
CMG/urodynamic testing: arrive with a full bladder.
Hysteroscopy/Essure/endometrial ablation: no bladder preparation.

Light bleeding or discharge is common for days or weeks. Use pads, not tampons.
Pain medications may cause nausea, constipation, or dizziness. Antibiotics may cause nausea, yeast infections, or diarrhea.
Common after hysterectomy due to changes in ovarian blood flow. Usually temporary.
Possible if you are still menstruating. Tubal procedures have a small failure risk.
No. Ablation is not a contraceptive method.
Pelvic rest for 2–4 weeks. Avoid heavy lifting after prolapse surgery or hysterectomy.
Our billing team helps determine benefits and responsibilities. Discounts may apply for uninsured patients paying in full.
Yes. A companion is required if anesthesia may cause drowsiness.
Avoid sex until discharge resolves, typically 2–4 weeks.
Seek evaluation when symptoms affect daily life, confidence, or social activities.
A full urogynecologic evaluation is recommended to identify other contributing conditions.

Clinical Tools and Trackers

Bladder Tools
Bladder symptom trackers and
evaluation guides.
Bowel Tools
Bowel activity diaries and standardized scoring tools.
Pelvic Health Tools
Pelvic educational materials and
procedure guides.

Additional Educational Content

Supplemental information related to pelvic health, bladder care, bowel function, and surgical recovery.
You Don't Have to
Suffer in Silence

Pelvic health issues are common, but they don’t have to be
your new normal. You deserve to feel confident,
comfortable, and in control. We’re here to listen, find the
root cause, and help you get back to living a life you love.

Kelly Medina, PA‑C

Certified Physician Assistant
Kelly Medina delivers pelvic health care grounded in both urology and urogynecology. Her experience includes diagnostic evaluation, symptom management, and treatment planning for bladder dysfunction and pelvic floor concerns. She earned her Master of Medical Science in Physician Assistant Studies from Nova Southeastern University and her undergraduate degree from Florida International University.

Gabrielle Wright, PA‑C

Certified Physician Assistant
Gabrielle Wright provides pelvic health evaluation and treatment with advanced training in gynecologic and urologic assessment. She supports individuals through initial consultations, diagnostic review, and management of bladder dysfunction, pelvic floor symptoms, and recurrent urinary issues. She completed her Master of Science in Physician Assistant Studies at the University of Dubuque, following academic training in biology and business administration.