New Patient Paperwork

Online Secure Patient Forms

For your convenience you can fill out our New Patient Paperwork by clicking on the 6 links below. These forms will be sent to our office through secure email

Patient Information
Insured's Information
Medical History
Acknowledgement of Financial Policy
Medical Information Release Form
History


Print PDF Forms to bring with you to your appointment

Patient Information
Insured's Information
Medical History
Privacy Practices
Acknowledgement of Financial Policy
HIPAA Release Form
History

Adobe Acrobat Reader Download In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.

 CONTACT US

GILLESPIE COUNTY UROLOGY
1892 W US HWY 290
Fredericksburg, TX 78624
Phone: 830-304-1666
Fax: 830-304-1665

 

Our Location

Office Hours

Our office is closed from 12-1 everyday for lunch.

Monday:

8:00 am-5:00 pm

Tuesday:

8:00 am-5:00 pm

Wednesday:

8:00 am-5:00 pm

Thursday:

8:00 am-5:00 pm

Friday:

8:00 am-5:00 pm

**Every Other Friday

Saturday:

Closed

Sunday:

Closed