Forms can be completed online through the patient portal or you can print them from our website and bring them with you to your appointment.
Please fax completed forms to 713-774-7122 or email them to medicalrecords@swobgyn.com.
"Dr. Shah was very good and spent a lot of time explaining everything to me. I didn't have to wait for long and was seen right away! I will totally be going back!"
"I love this practice. All the staff (doctors, NP, PA, nurses) are awesome! I have been going to this practice for 17 years. I would highly recommend!"
"I recommend Dr. Haque and staff to everyone for more than 17 years now. Kind and considerate of our time and feelings. Very caring and professional! They are the best - 5 star !"
"I have been with Dr. Starr as my OBGYN for couple of years and I love her bedside manner and the way she takes time to listen to patients' problems. She is a very knowledgeable doctor as well"
"As always, very satisfied. Dr. Galvan is the best at what he does. He's always very thorough and takes his time to answer all questions asked. This is why he has been our family OBGYN since he delivered my brother 40 years ago and since delivered every child (10 total) in our family, down to my granddaughter who is now 5 years old. We always recommend family and friends when they are looking for an OBGYN."
"Dr. Penkar and her team, and the technicians are awesome. They took the time to explain everything to me meticulously and coordinated all the tests in a very efficient manner. Dr. Penkar is very calm, answered all my questions and explained my treatment and next steps very nicely. Thank you so much."
"It was my first visit with Dr. Swords and I loved her - she has such a great personality. Extremely great bedside manner, and took the time to listen and get to know me. I felt like I was heard, and staff was nice as well! Thankful to find a new OBGYN!"
"Dr. Diase was great. Caring, empathetic, professional. Everything you want from your doctor."
Patient Forms
Authorization for Release of Medical Information (PDF) - Allows patients to authorize the disclosure of their health information to a designated individual, company, agency, or facility. Autorización De HIPAA Para Divulgar Información Del Paciente
Authorization and Consent for Treatment (PDF) - All patients must provide their consent for treatment, communications (calls, emails, and text messaging), and agreement of financial responsibility. Autorización y Consentimiento Para el Tratamiento
Preferred Contacts (PDF) - Patients are encouraged to complete and return the Preferred Contacts Form but it is not required. Contactos Preferidos
Virtual Visit Policy (PDF) - This policy describes the process for the documentation, maintenance, and transmission of information using virtual visit technology.
Office Policies
Financial Policy (PDF) - This form advises patients of their complete financial responsibility for all medical services received without regard to insurance eligibility or coverage determinations. Política Financiera (PDF)
Notice of Privacy Practices (PDF) - Describes how health information about you (as a patient of this Care Center) may be used and disclosed, and how you can get access to your individually identifiable health information. Please review this notice carefully. Aviso de prácticas de privacidad (PDF)