Patients
Contact Info
If you have any questions, we will be glad to assist by calling us at (210) 222.0333
New Patients
To provide you with the best care, it is important for your provider to understand your medical and mental health history, living situation, relationship status, and employment history.
Be ready to list any medications you take including doses and any allergies to medications to the best of your knowledge. Please also provide names and contact information of any other medical providers that you have visited, so that we may better coordinate your care. Save time and fill out your forms before your appointment. Simply print out the packet, fill them out and bring them in to your first appointment.
Find your insurance providerPatient Forms
These forms will need to be filled out and updated annually into your medical record.
These forms will need to be filled out and updated annually into your medical record.
- Patient Profile
- Patient Profile
- Acknowledgement of Notice of Privacy Practices
- Acknowledgement of Notice of Privacy Practices
- Patient Financial Policy
- Patient Financial Policy
- Medical Release Authorization
- Medical Release Authorization
- Ethnicity and Race Questions
- Ethnicity and Race Questions
- Letter of Consent for Photographing Patients
- Letter of Consent for Photographing Patients
- Pharmacy Authorization
- Pharmacy Authorization
- Authorization to Disclose Protected Health Informa
- Authorization to Disclose Protected Health Informa
- Patient Portal Access Authorization
- Consent of Treatment NP
- Informed Consent APN
- Consent of Treatment PA
- Informed Consent PA
- Family Assistance Plan Application
- Family Assistance Plan Application
- Sliding Fee Scale
Select your resource:
Multiple Services
Alamo Area Agency on Aging
(210) 362.5561
- Benefits Counseling
- Care Coordination
- Caregiver Support Program
- Nutrition/Meals
- Health & Wellness Programs
- Information, Referral & Assistance
- Ombudsman
- Outside Aging Resources
- Transportation
Texas Department of Aging & Disability
(210) 434.9011
- Caregiver Support
- Daytime Programs
- Education or Employment
- Hospice
- Making Your Home Accessible
- Medical Needs
- Moving Out of an Institution
- Nutrition/Meals
- Personal Care
- Transportation
- 24-hour Residential
Social Security Administration
1.800.772.1213
Adult Protective Services
1.800.252.5400
Alamo Area Agency on Aging
(210) 362.5561
- Benefits Counseling
- Care Coordination
- Caregiver Support Program
- Nutrition/Meals
- Health & Wellness Programs
- Information, Referral & Assistance
- Ombudsman
- Outside Aging Resources
- Transportation
Meals on Wheels (Christian Senior Services)
(210) 735.5115
San Antonio Food Bank/Food Pantries
(210) 431.8326
- Food Assistance
- Seniors Programs
- Kids Café
- Culinary Training Program
- Nutrition Education Program
- Employment Services
Texas Department of Aging and Disability Services (DADS)
(210) 434.9011
Well Dine
1.866.966.3257
Health Well Foundation
1.800.675.8416
Partners for Prescription Assistance
1.888.477.2669
Project MEND (Medical Equipment Reuse)
(210) 223.6363
Alamo Area Agency on Aging
(210) 362.5561
- Benefits Counseling
- Care Coordination
- Caregiver Support Program
- Nutrition/Meals
- Health & Wellness Programs
- Information, Referral & Assistance
- Ombudsman
- Outside Aging Resources
- Transportation
Southwest Outreach for Older People (SWOOP)
(210) 558.0007
- Must be 60 years old or Older and ambulatory
- Must call to schedule home visit to fill paperwork and become official client
- Call ahead of appointment due to waiting list
Texas Department of Aging and Disability Services (DADS)
(210) 434.9011
VIA Transit
(210) 362.2020
Access Ability Home Modifications (Private Pay)
(210) 414.5600
Alamo Area Council of Government (AACOG)
(210) 362.5200
Texas Ramp Project (Must be referred by RN or Social Worker)
www.texasramps.org
Alzheimer's Association San Antonio
(210) 822.6449
- Alzheimer's Education
American Cancer Society (ACS)
(210) 614.4211
- Quit-Net Smoking Cessation
American Diabetes Association (ADA San Antonio)
(210) 829.1765
- Diabetes Education
American Heart Association (AHA San Antonio)
(210) 810.3100
- Blood Pressure and Hypertension
- Diabetes
- Stroke
- Nutrition
- Weight Management
- Stress Management
- Smoking Cessation
YMCA
(210) 585.4439
- Diabetes Prevention Program
Chronically Ill and Disabled Children
(210) 949.2000
Kidney Foundation
(210) 829.1299
Medicaid
(210) 655.8760
Medicare
(800) 442.2620
Supplemental Security Income
(800) 772.1213
Temporary Assistance for Needy Families(Texas Department of Human Services)
(210) 655.8760
Texas Rehabilitation Commission
(210) 805.2000
Texas Workforce Commission
(210) 258.6600
Transplants for Children
(210) 949.1212
Mommy-n-Me
(210) 509.2266
Project Any Baby Can of San Antonio
(210) 227.0170
- Parenting Classes
- Support Groups
- Parenting Library
Regulatory Agencies-Texas Department of Health
(888) 973.0022
- Information/Complaint Hotline
The Center for Health Care Services
(210) 532.5158
- Paces – Early Childhood Intervention Services
- Services for children of ages 0-3 who are autistic, mental ill or developmentally delayed
Medically Dependent Children Waiver Programs
(800) 252.8023
- Program serves a limited number of children. There is currently a waiting list.
Respite Care of San Antonio
(210) 737.1212
- Sliding Fee Scale
- Patient in-Home Care
- No Skilled Nursing Needs
- Parent Can Leave
Children's Bereavement Center
(210) 736.4847
Hope for Youth
(210) 658.6037
- Bereaved children 5 to 18 years of age
Share
(210) 822.4135
- Parents bereaved over a stillbirth, miscarriage or death of a newborn.
Patient Feedback
We would love to hear how we can improve our services.