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            Call Brownsville ObGyn at (956) 542-2410
            Make an Appointment
            Directions
            • Home
            • Location
            • Services
            • Our Physician
            • Patient Center

              Patient Center

              • Patient Portal Support
              • Patient Portal
              • Telehealth Visits
              • Annual wellness visits
              • Patient Forms
              • Patient Education
              • Tell Us About Your Visit
              • Patient Rights & Responsibilities
              • Online Bill Pay
              • Insurance Information
            • Contact Us
            • Directions
            • Health Portal
            • Pay My Bill
            Alerts 1 Dismiss alerts

            • Our COVID-19 Response

              Get information on our enhanced safety protections.

              Resource Hub | Vaccine Information
              Enhanced Safety

            Patient Forms

            • Brownsville ObGyn /
            • Patient Center /
            • Patient Forms
            • Patient Center
            • Patient Portal Support
            • Patient Portal
            • Telehealth Visits
            • Annual wellness visits
            • Patient Forms
            • Patient Education
            • Tell Us About Your Visit
            • Patient Rights & Responsibilities
            • Online Bill Pay
            • Insurance Information

            Patient Registration Forms

            If you are a new patient, please fill out the registration forms listed below in advance of your appointment to assist the staff in making sure that we have all the information necessary to provide you with quality care and treatment. Please bring the completed forms with you to your appointment.

            Registration Forms

            • Patient Registration and Consent
            • Registro de Pacientes y Consentimiento para Tratar
            • Medical Records Release
            • Patient HIPAA Acknowledgement and Consent
            Valley Regional Medical Center
            Brownsville ObGyn
            Brownsville ObGyn
            4770 North Expressway 83, Suite 205
            Brownsville, TX 78526
            Phone: (956) 542-2410
            Fax: (956) 542-2470
            Contact Us
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            Copyright 1999-2023 C-HCA, Inc.; All rights reserved.
            Notice of Privacy Practices | Terms & Conditions | California Notice at Collection | Privacy Policy
            Social Media Policy | Acceptable Use Policy | HCA Nondiscrimination Notice
            Surprise Billing Protections | Right to Receive Estimate | Accessibility | Disclosures