Women's Health Texas – San Antonio

Patient Forms

Below, you will find the necessary paperwork for your appointment. Please print and fill out these forms and send them to us at least one week prior to your scheduled appointment. You can send them via fax to 512-458-5446, mail to our address, or e-mail to mail@wpih.net. Make sure to bring a valid form of identification and your insurance card with you.

Some of the forms below are in .pdf format. If you are unable to open these files, you may need to download the free Adobe Acrobat Reader program.


Patient Forms

Click link below to Download appropriate form:

This form needs to be completed by all new patients

This form needs to be completed for all new pregnancies

This form needs to be completed by all established patients for their annual wellness visit

This form needs to be completed by all patients, one time only

This form needs to be completed and submitted to our office by any patient needing medical records sent to or from our office

Additional Forms


Downtown Office


(210) 226-9705

222 W Cypress Street, Suite 200
San Antonio, TX 78212

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Hardy Oak

Hardy Oak Medical Plaza

(210) 494-2000

18707 Hardy Oak Boulevard, Suite 230
San Antonio, TX 78258

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Lincoln Heights

The Shops at Lincoln Heights

(210) 656-3040

999 E. Basse Road, Suite 100
San Antonio, TX 78209

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Medical Center

Medical Center Office

(210) 614-1000

4458 Medical Drive, Suite 705
San Antonio, TX 78229

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Northeast Methodist – Toepperwein

Northeast Methodist Plaza

(210) 657-4099

12709 Toepperwein, Suite 309
San Antonio, TX 78233

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Westover Hills

Westover Hills

(210) 684-4100

3903 Wiseman Boulevard, Suite 200
San Antonio, TX 78251

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