Forms & Documents

Online Patient Forms

We have provided the following “printer-friendly” form(s) for your online convenience:

Patient Registration Form (pdf)

In order to provide you with the best possible care, we need the most up-to-date information about you. If you are a new patient or an established patient who has not visited our office within the past three months, we will need an updated registration form at your next appointment.

Release of Medical Records (pdf)

If you need to have your medical records sent to or from another physician’s office, then this is the form you will need.

Patient Medical History (pdf)

You can save wait time by printing a form, handwriting your information, and bringing the form with you at your scheduled appointment time. On certain forms, you may be able to type your information directly into the online form fields prior to printing.

Privacy Policy Form (pdf)

We ask you to give the authorization to release your health information to the right representative.

Financial Agreement Form (pdf)

Look into our Financial Policy and feel free to ask any questions about our policy.

Application for Employment

Application for Employment (pdf)

Interested in joining our team? Please complete and sign the application form and send it to our practice:

Women’s Healthcare Affiliates
Attn: Practice Administrator
9180 Pinecroft, Suite 100
The Woodlands, Texas 77380

Please allow two weeks for review.