New Patient Paperwork

Patient Forms

For your convenience you can fill out our New Patient Paperwork by clicking the links below or you can print off our PDF VERSIONS and bring them into the office before your appointment.

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


PDF Versions

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 Information

Gillespie County Urology
1892 W. US Hwy 290
Fredericksburg, TX 78624
Phone: (830) 304-1666
Fax: (830) 304-1665

Our Location

Office Hours

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