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Print Your Forms


Please print out the forms below.  After you have completed them you may return them to South Texas Psychological Associates in one of the following methods:


Email - You may email them to forms@southtxpa.com
Fax - You may fax them to 210-855-8133  Attn: Forms
Standard Mail (Forms must be received prior to your appointment) -
                             South Texas Psychological Associates                  South Texas Psychological Associates
                             8100 Roughrider Dr. Ste 102                                263 Jefferson St., Suite 8
                             Windcrest, TX. 78239                                          Eagle Pass, TX. 78852
Bring them with you - You may bring the forms with you to your appointment.
Consent_Form.pdf
File Size: 142 kb
File Type: pdf
Download File

HIPAA.pdf
File Size: 1007 kb
File Type: pdf
Download File

Limits_of_Confidentiality.pdf
File Size: 83 kb
File Type: pdf
Download File

Patient_Consent_and_Acknowledgement_of_Receipt_of_Privacy_Notice.pdf
File Size: 313 kb
File Type: pdf
Download File

Your_Rights_Regarding_Health_Information_About_You.pdf
File Size: 996 kb
File Type: pdf
Download File

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  • Home
  • Services
  • Meet the Staff
  • Contact Us
  • Careers
  • Employee Portal
  • Common Questions
  • Links & Resources
  • Co-Payment