Fertility and Infertility Specialist, RMA in San Antonio, Texas. New Patient Form

The only Board Certified Fertility specialist in San Antonio Stone Oak area

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Instructions:

Please download these forms and print them.

	Resquest For Records (word)
	Resquest For Records (pdf)
	RMA of Texas Patient Registration Form (word)
	RMA of Texas Patient Registration Form (pdf)
	RMA of Texas intake (word)
	RMA of Texas intake (pdf)
	Folic Acid Letter (word)
	Folic Acid Letter (pdf)
	Consent to Care (word)
	Consent to Care (pdf)
	Photo Identification Authorization (word)
	Photo Identification Authorization (pdf)
	Email Disclosure (word)
	Email Disclosure (pdf)

If you have fertility records with another physician please fill out the request for records form and fax it to our offices (210-337-8452) so we can start the process of getting your records prior to your visit.

Please fill out your registration form and intake history together with your partner (if applicable).

Make an appointment by calling to 210-FERTILE (210-337-8453) or
e-mail Lauralicia@rmatx.com