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Patient Information and Forms


 

New Patient Information

New Patients are always welcome. To schedule an appointment, please call (830) 626-5551 and select option 2.

Our staff is happy to assist you in any way and every effort will be made to accommodate your schedule.

When calling for an appointment, if we will be billing insurance for your visit, please have your insurance card available. We take your insurance information over the phone so that your medical benefits can be verified prior to your visit. We do collect all co-payments, deductibles, and co-insurance at the time of service.

All new patients (and established patients who have not been to our office within the past year) need to complete the three Patient Information Forms (see below).

Please arrive at least 15 minutes early for your appointment and be sure to bring a current insurance card and current identification with you.

Patient Forms - Online Portal

Our online portal offers an easy way to fill out the required patient forms, along with other helpful information for our current patients. Select the link below to access our online portal.

Current User Online Portal Access

New User Online Portal Access

Patient Forms - Downloadable

If you are unable to fill out the paperwork using our online portal then you can fill the forms out when you arrive at the office or click below for downloadable forms.

Patient Registration Form 

Financial Policy Form 

Privacy Practices Acknowledgement Form 

Medical History Form 

Notice of Privacy Practices 

Payment Information

As a service to patients, our office will bill the patient’s insurance (both primary and secondary) for services rendered.

Co-payments and payments for treatment not covered by insurance are due at the time of service. Charges, co-payments, co-insurance, and deductibles are required at the time of the visit. We accept cash, checks, Visa, MasterCard, and Discover.

Office Hours

Our office is open to serve you from 8:00 am to 1:00 pm and 2:00 pm to 5:00 pm Monday through Friday.

Canceling Appointments

If you are unable to keep a scheduled appointment, please notify the office as early as possible by calling (830) 626 5551 and select option 2. This appointment time has been reserved for you, please cancel or reschedule 24 hours in advance if possible.

Consultations

Would you like to learn more about our procedures? Contact our office to schedule a consultation. We will be happy to discuss any questions or concerns you might have regarding our procedures at your consultation.

We appreciate every patient and make every effort to serve you. We look forward to seeing you at your next appointment.

Our Locations

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