• 1221 W Ben White Blvd, Suite 210-A, Austin, TX 78704
  • Mon – Fri: 7:30 am – 4:00 pm, Sat – Sun: Closed
512-394-0054
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Austin Springs Women's Health
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    • Martha E Schmitz, M.D.
    • Uyenvy “Vee” Mai
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Schedule Appointment
  • 1221 W Ben White Blvd. Suite 210-A Austin, Texas 78704
  • Mon – Fri: 7:30am – 4pm
512-394-0054

Patient Forms

Registration Form (English)
Registration Form (Spanish)
Medical Records notification
Advance Beneficiary Notice (ABN) English
Advance Beneficiary Notice (ABN) Spanish
Breast Cancer Family Questionairre
Health History Questionairre
HIPPA Notification
HIPPA 1996
Tricare ABN
Well Woman Exam
PHQ 9 Mental Health Screening
Austin Springs Women's Health
  • 1221 W Ben White Blvd. Suite 210-A Austin, Texas 78704
512-394-0054
Fax: 833-907-0579

Pages

  • About Us
  • Our Services
  • Blog
  • Contact

Our Services

  • Gynecology
  • Robotic Surgery
  • Infertility
  • Bioidentical Hormone Therapy
  • Birth Control
  • Office Procedures
  • Wellness Visits
  • Weight Management

Our Services

  • Patient Forms
  • Testimonials
  • Accessibility Statement
  • Terms & Conditions
  • Privacy Policy

Austin Springs Women's Health

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