Regardless of the decision by the Gov. of Texas to lift the mask mandate, COVID-19 Safety Measures remain in place at Lotus Gynecology, Alchemy Wellness, and Central Texas Urogynecology. Masks are still required and we will continue to take all necessary steps to protect your health as well as that of our staffs and families.

Patient Forms

For your convenience, you may download and print the patient forms below and bring them with you to your first appointment. Or, if you prefer to fill them out in our office, please arrive 30 minutes prior to your scheduled appointment time.

NEW PATIENT FORM

EMAIL PORTAL AGREEMENT

RELEASE OF MEDICAL RECORDS

PATIENT CONSENT FORM

HORMONE PELLET PACKET

BRCA ANALYSIS CONSENT


REQUEST AN APPOINTMENT

Fill out this form to request an appointment. A member of our team will be in touch to confirm your appointment.

“I felt so comfortable with Dr. Jehangir, Catherine and all of the staff that I encountered. I work in healthcare and have recommended her to my friends, peers and family and will recommend this office to patients in the medical office where I work.”

Racheal W.

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We're happy to answer any questions you may have, feel free to call us at
(512) 716-0971