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Patient Forms
At Texas Health Women's Care, we understand that you want your appointments to run as smoothly as possible. To streamline your first visit, our patient forms are available online.
Simply click on the links below to download, print, complete and bring the forms to your appointment. In order to protect your privacy, please do not email forms.
- New Patient Registration Form: English | Español
- Consent to Treat: English | Español
- Office Guidelines: English
- Patient History Form: English | Español
- Medical Release of Information: English | Español
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Insurance Information
We believe in enabling our patients to focus on maintaining good health and receiving quality care. Texas Health Women's Care accepts most major insurance plans and various forms of payment, and will verify benefits prior to your appointment. Please call us at 817-684-5002 with any questions.
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Pay a Bill
In order to use the payment portal to pay your bill, please have your statement and billing information readily accessible. For question or payments by phone, call us at 1-800-890-6034.
We would like to thank you for your interest in Texas Health Women's Care.