Planned Parenthood

Greater Texas

Forms

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Save time at your next visit! For your convenience, you can print and fill out some of our patient forms beforehand and bring them with you to your appointment.

Any visit for a physical examination requires a complete client registration form and patient history form. Please handwrite in black ink. If you have any questions, we're here to help.

Client Registration Form

Patient History Forms
If you're visiting one of our Planned Parenthood health centers in Austin:

If you're visiting one of our Planned Parenthood health centers in Dallas, Fort Worth, Waco, or surrounding communities:


Some minors (under the age of 18) will be required to obtain consent from a parent or guardian before receiving certain medical services (such as birth control, a Pap test, or well-woman exam) at our health centers. Learn more.

Minor Forms


Additional forms available to print


Notice of Health Information Privacy Practices 


Español: Formularios

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Forms