Please click here to visit our secure portal and complete our registration and health history forms online.
Additional Printable Forms
- Minor Consent Form
- Release of Records Form
- Patient Survey
- Notice of Privacy Practices (HIPAA)
- Release of Information to Family and Friends
- FMLA Form
- Request for Restriction of Protected Health Information
Please complete & fax to (512) 425-3809. You can also email your records to email@example.com.
*If you have any personal demographic changes including name, address, insurance, status, or need to submit copies of your insurance card prior to a scheduled appointment, please email them to RWG.PatientInformation@centexobgyn.com.*