12200 Renfert Way, Ste. 100, Austin, TX

*On-Site Dedicated Parking & Free Valet*

Book Your Appointment: 512.652.7001

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
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.

Important Insurance Update – Aetna & BCBS-TX Patients
 
Austin Area OBGYN wants to inform our patients that our contracts with Aetna and Blue Cross Blue Shield of Texas (BCBS-TX) are currently scheduled to end in early 2026 due to unsuccessful negotiations on updated reimbursement rates.

What you should know:

Aetna
  • We remain in-network through February 1, 2026
  • After that date, unless an agreement is reached, we may be considered out-of-network
  • Certain patients, including those 24+ weeks pregnant, may qualify for continuity-of-care coverage

BCBS-TX
  • We remain in-network through February 3, 2026 for PPO and HMO plans
  • We remain in-network through May 4, 2026 for Blue Advantage (BAV) plans
  • After those dates, unless an agreement is reached, we may be considered out-of-network
  • Certain patients, including those 24+ weeks pregnant, may qualify for continuity-of-care coverage

If you are Aetna or BCBS-TX patient, click here to read the full notice
 
Call our office: 512-652-7002
 
Sincerely,
Austin Area OBGYN Physicians
close-link