Complete Your Patient Forms Online Today
Completing your patient forms before your appointment helps us provide the best possible care. These forms give our team important details about your medical history, insurance information, and treatment preferences, ensuring a smooth and efficient visit. By filling out all eight forms in advance, you’ll save time during check-in and help us prepare for your needs. Your privacy is always protected, and all information is handled securely in compliance with HIPAA regulations.
If you have any questions or need assistance, please call us at 325-704-3470—we’re happy to help!
New Patient Paperwork
This form collects your personal details, contact information, and emergency contact so we can provide safe and accurate care. It also includes an insurance section to verify coverage and ensure proper billing. All information you provide is protected as confidential and handled in compliance with HIPAA regulations. Please complete every field carefully to avoid delays in processing your visit.
Sexual Health Inventory for Men Form
This form helps assess symptoms related to erectile function and overall sexual health. Your responses allow our providers to better understand your needs and recommend appropriate treatment options. All information is confidential and used solely for your care.
Semaglutide Medication Schedule This schedule outlines your five-month treatment plan, including dosage amounts and injection frequency. Following this guide closely is essential for achieving the best results and maintaining safety throughout your therapy. Please review each step carefully and contact us with any questions.