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Pediatrix.com Find Care Practices Pediatrix Urology of Central Texas Patient Forms Patient Forms Patient Portal 512-472-6134 Contact Us Contact Us Online Form - Contact Us 512-472-2928 About Our Practice Downloadable Forms In-Office Visits New Patient Paperwork Established Patient Paperwork Telemedicine New Patient Paperwork Established Patient Paperwork Telemed Review of Symptoms Other Forms Consent to Treat (Required at Check-In) Patient Information/Demographics Form (Required at Check-In) Past Medical History (Required at Check-In) Review of Symptoms (ROS) (Must be completed at the time of visit) Patient Financial Responsibility Form & Policy for Divorced or Separated Parents (Required at Check-In) Newborn Circumcision Disclosures and Consent Form Voiding Diary Stool Diary Medical Records Release Form Digital Forms In-Office Visits New Patient Paperwork Established Patient Paperwork Telemedicine New Patient Paperwork Established Patient Paperwork Telemed Review of Symptoms (ROS) Other Forms Medical Records Release Form Spanish Forms
Patient Forms Patient Portal 512-472-6134 Contact Us Contact Us Online Form - Contact Us 512-472-2928 About Our Practice
Downloadable Forms In-Office Visits New Patient Paperwork Established Patient Paperwork Telemedicine New Patient Paperwork Established Patient Paperwork Telemed Review of Symptoms Other Forms Consent to Treat (Required at Check-In) Patient Information/Demographics Form (Required at Check-In) Past Medical History (Required at Check-In) Review of Symptoms (ROS) (Must be completed at the time of visit) Patient Financial Responsibility Form & Policy for Divorced or Separated Parents (Required at Check-In) Newborn Circumcision Disclosures and Consent Form Voiding Diary Stool Diary Medical Records Release Form Digital Forms In-Office Visits New Patient Paperwork Established Patient Paperwork Telemedicine New Patient Paperwork Established Patient Paperwork Telemed Review of Symptoms (ROS) Other Forms Medical Records Release Form Spanish Forms