Patient Forms

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

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.