Download Patient Forms

To make your first experience with RiverCity Women's Health a pleasant one, please download and complete the following forms (if applicable) by the time of your first visit. This will assist our staff in making sure we have all the necessary information in time for your appointment.

New Patients:

Please complete the following forms and present them to our staff when you arrive or you may fax them to our office at (210) 684-1003.

New Patient Packet (.pdf)
Medical Records Request (.pdf)
Notice of Privacy Practices (.pdf)
Our Financial and Office Policies (.pdf)
Consent for HIV Blood Test  (.pdf)



Telemedicine:
Informed Consent for Telemedicine - COVID-19 (.pdf)

Convenient Location:


View Larger Map