12200 Renfert Way, Ste. 100, Austin, TX

*On-Site Dedicated Parking & Free Valet*

Book Your Appointment: 512.652.7001

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Austin Area Ob-Gyn & Fertility is a top-rated obstetrics and gynecology practice serving patients in and around Austin, Texas. The multi-physician practice features advanced care options for women at all stages of life.

Located in Austin, Texas 12200 Renfert Way, Ste. 100, Austin, TX 78758

512.652.7001

Forms

Below is a list of helpful forms and information
you can view or download.

You will need a PDF Document Viewer (such as Adobe Acrobat Reader) to view or print these forms. If you do not already have a PDF document viewer, please download and install one.

HIPAA Notice
Of
Privacy Practice

Semen
Analysis
Instructions

Instructions
For
Your IUI
Appointment

Cancellation
and
No Show
Policy

Consent
To Share
Confidential
Information

Medical
Records
Release
Form

FMLA
Authorization
Form

Questions? Contact Us.

Book Your Appointment Online

Our Services

Our Services

Contact Us
“
what they’re saying

Dr. Gutierrez delivered my first baby and she made the whole process so relaxed and calming! I have pretty bad medical anxiety and she calmed all my fears and was so caring. I would absolutely recommend her to anyone!

Carys S.

Office Closure Notification

Due to inclement weather and for the safety of our Patients and Employees we have decided to close our office on Tuesday, January 21st . If you have an appointment, our office will be contacting you to re-schedule. We apologize for the inconvenience and look forward to seeing you soon.
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