New Patient Paperwork

ONLINE Secure Patient Forms

These 4 forms can be filled out online and will be sent to a secure email in our office.

New Patient Paperwork
Medical Information And HIPAA Release Form
Acknowledge Financial Policy
Medical History

OR

Print PDF Forms to bring with you to your appointment

New Patient Paperwork
Medical Information And HIPAA Release Form
Acknowledge Financial Policy
Medical History

RELEASE OF MEDICAL RECORDS

Please fill out this form and take it to the physician you are requesting records from. If you are a new patient with us please fill out either the 4 online secure patient forms above OR print off and fill out the PDF forms to bring into the office when you bring us your records.

Release of Information


Gillespie County Urology Privacy Practices

Privacy Practices



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 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