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We know you've got a crazy schedule. This might save some time at your next visit!

Any visit for a physical examination requires a complete patient registration form and patient history formFor your convenience, you can print and fill out some of our online forms beforehand and bring them with you to your appointment.

Did you know we offer same-day appointments and have extended hours? Find your nearest Planned Parenthood and schedule your next appointment online—or call us at 1-800-230-PLAN.

Patient Registration Form

Download and print our Patient Registration Form. Please handwrite in black ink. If you have any questions, we're here to help.

English language
Patient Registration Form (PDF)

Spanish language
Registro de Paciente (PDF)

Any visit for a physical examination requires a complete Patient Registration Form and Patient History Form.

Obtaining Government-issued Identification

Please bring a valid form of identification with you to your procedure. The following are instructions on obtaining state-issued identification and a list of other approved forms of identification that you can bring with you to your appointment.

English
Obtaining Government-issued Identification (PDF)

Spanish
Cómo Obtener una Identificación Emitida por el Gobierno 

Parental and Minor Consent Forms and Facts

Facts About Minor Consent for Medical Treatment in Texas (PDF)

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 cervical cancer screening, or a well-woman exam) at our health centers.

Minors may receive family planning services (including birth control) without parental consent at health centers funded by Title X. Planned Parenthood of Greater Texas Title X-funded centers include: Cedar Hill, Paris, Southeast Fort Worth, Tyler, and Waco locations.

We CAN provide certain medical care to a minor without parental consent at any of our health centers if:

  • You are requesting condoms.
  • You would like information about birth control.
  • You are requesting a pregnancy test.
  • You are requesting testing or treatment for certain sexually transmitted diseases.
  • You are on Medicaid (except for clients requesting Gardasil vaccination. Gardasil requires parental consent).
  • You are receiving services at a Title X health center (except for clients requesting Gardasil vaccination. Gardasil requires parental consent).
  • You are age 16 or 17 and live apart from your parents and manage your own finances. You will be asked to sign a form stating that these are your living arrangements.
  • You are emancipated.
  • Your parent(s)/guardian cannot be contacted. This means that you do not know how to contact your parents/guardian (you don't know where they live or you are unable to contact them). This does not apply if you just don't want your parents/guardian to be contacted. If your parent or guardian cannot be contacted another adult may be able to sign a consent form for you.
Notice of Health Information Privacy Practices