Insurance & Forms
Welcome to the Texas Urogynecology & Laser Surgery Center. Here are some steps to help make your visit go smoothly.
Every new patient is required to read the “Notice of Privacy Practice” brochure. Each patient must fill out the HIPAA Acknowledgement form, Patient Information Sheet, and Medical Questionnaire.
If you are having trouble viewing the forms, please: Download the free Adobe Reader
- Notice of Privacy Practice (Read Only)
- HIPAA Acknowledgement (Fill Out)
- Patient Information Sheet – ENGLISH
- Patient Information Sheet – SPANISH
- Medical Questionnaire – OBGYN – ENGLISH
- Medical Questionnaire – OBGYN – SPANISH
Setting Your Appointment
Call 915-533-5600 during normal business hours. Please advise our staff if you are being referred or have had a change in your insurance policy. Please have the following information available: Full name, date of birth, insurance information, and preferred pharmacy.
Office Hours: Monday – Friday – 9 am to 5 pm
Payment / Insurance Information
Please have your insurance card available while making your appointment.
Please advise us of any of the following:
- Subsidiary Medicare program
- Secondary Insurance policy
- Out-of-State policy.
- Most Forms of Commercial Insurance.
Contact our office for details. Our office staff will contact your insurance provider to verify all benefits. However, it is the patient’s responsibility to make sure that their policy is active and to be aware of any limitations of coverage.
Bring Any Medications & Previous Records
It is very important for all new patients, referred patients, or patients that have seen Dr. Farnam at another practice location to obtain all pertinent records prior to your appointment. You are welcome to have your records faxed to our office at 915-533-5600. However, to ensure the availability of your information during your appointment and to prevent a delay in your visit, we recommend that you obtain a printed copy of your records and bring it with you to your appointment. Please also bring any medications you are taking.
Map and Directions
The Texas Gynecology and Laser Surgery Center is conveniently located in the heart of the El Paso medical district in the Oregon Medical Building. Patients that are new to the center should arrive 30 minutes prior to their scheduled appointment to complete the medical forms and allow for verification of insurance benefits. Please use the interactive map below to create and print driving directions.