The Women's Centre for Well Being – Gynecologist, The Woodlands, TX

Patient Information

Hospital Affiliations | Your First Appointment
Patient Forms | Insurance and Payment Information
Hours and Appointments | Medical Records
Telephone | Privacy Practices

The Woodlands Surgical Center Memorial Hermann, The Woodlands Hospital Hospital Affiliations

We are affiliated with Memorial Hermann The Woodlands Hospital, The Woodlands Surgical Center and St. Luke's The Woodlands Hospital. These facilities are adjacent or close to our office.

Your First Appointment

Please arrive early so that we can complete your initial paperwork. Also, please bring the following:

Patient's insurance card
List of current prescriptions and/or over-the-counter medication, including dose and frequency
Information about patient's medical and surgical history
Recent test results, x-rays, or relevant records

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Patient Forms

For your convenience, you may print and complete the following patient forms before your office visit or as needed:

PDF Help

Health history (PDF)
Patient registration (PDF)
Financial policy agreement (PDF)
Acknowledgement of review of Notice of Privacy Practices (PDF)
Authorization for release of medical records (PDF)
Medication refill request (PDF)
Bladder incontinence questionaire (PDF)
Risk assessment for Lunch Syndrome and Hereditary Breast and Ovarian Cancer Syndrome (PDF)
Cancer Worksheet (PDF)
Bladder Survey (PDF)

Insurance and Payment Information

The Women's Centre for Well Being is a provider for Medicare and most major insurance plans, and provides insurance billing. You are responsible for co-payments or charges that are not covered by your insurance. If you have questions regarding billing or which insurance plans we accept, please contact us. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.

We expect payment at the time of service either in full or as designated by your insurance plan. As convenience for you, we accept cash, check, American Express, Discover, MasterCard, Visa or Debit Cards as payment options.

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Hours and Appointments

Our office hours for appointments are 8:00 a.m. until 5:00 p.m., Monday through Thursday and on Friday from 9:00 a.m. until 12:00 noon. Please tell the receptionist if you need to be seen promptly due to a problem.

If you are unable to keep an appointment, please call as soon as possible so your appointment can be rescheduled and your time may be used for another patient.

Medical Records

All of your medical records are confidential, and no information is given over the telephone without your written consent. Your written authorization is required before your records will be released to insurance companies or others. There is a minimum processing fee of $25.00 for reproduction and release of records.

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Telephone

If you have non-emergency questions, or are calling to get laboratory reports, please call between 8:30 a.m. and 4:30 p.m. Monday through Thursday and on Friday from 9:00 a.m. and 12:00 p.m. when your medical records are readily available.

If you are calling for a prescription refill, please call during the office hours so we can check your records to make sure a refill is the best course of treatment. You also should have the name and telephone number of your pharmacy available before your call.

Privacy Practices

Our Notice of Privacy Practices describes how medical information about you may be used and disclosed and how you can get access to this information. It is given to all new patients, and a copy is available upon request.

Acknowledgement of Review of Notice of Privacy Practices

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