Women’s Health Specialists of Dallas uses a computer-based electronic health record to store medical files and patient forms securely. Each new patient is requested to fill in a medical history form before her first visit. New patients should also fill out the New Patient Form with HIPAA prior to the first visit.
All patients must bring a current Insurance Card and Driver’s License (or another form of photo ID) to every visit. Please note that a new federal law requires that the address on the Driver’s License or photo ID must be current. A utility or other bill can be used to verify your address if your ID is not current.
Download Patient Forms
- Patient Medical History Forms
- Financial Policies Statement
- Welcome Letter
- Notice of Privacy Practices Forms
- HIPAA Compliant Authorization for Release of Medical Information Forms
- Patient Registration Forms
If you have any questions about these patient forms, or about what to expect during your appointment, please feel free to call us at (214) 363-4421.