Patient Forms

We have provided our New Patient forms that can be downloaded below.

To print the forms, you will need a PDF Reader like Adobe Acrobat Reader.

Medical Records Release Form

Obstetrix Packet (fill out only if referred to Obstetrix clinic in Ft. Worth)

Patient Registration

Obstetrix HIPAA Form

Financial Policy

OB Hx Questionaire

Authorization for Verbal Release

UltraSound Information

Acknowledgement Form Privacy Notice

Patient Education & Resources

Most Recent Articles:

CDC Covid Recommendations

Precautions and protective measures from the CDC on Covid-19. For the latest information please refer to the CDC website

Dr. Bannon & Benac experience labor pains!

Check out the viral facebook live where Dr. Bannon and Dr. Benac got to experience labor pains!

Marijuana and Pregnancy

Is marijuana safe to use during pregnancy? What does research suggest about the effects of marijuana during pregnancy?

Topics:

Birth Control Bladder Health Breast Health Breast Feeding Gynecology Infertility Medications Menopause Obstetrics Oncology Pregnancy Sexual Health Surgery Womens Health