patient forms Canyon Lake, TX
At Smithson Valley Family Medicine, we offer patient forms online so you can complete them in the convenience of your own home or office. Fax us your printed and completed forms or you may bring them during your visit.

Please save the form as a PDF and email it to or use the online submission form.

*** On the HIPAA form -at the top – please name the person that you will allow access to your medical information – spouse, child, family member, or friend.

  • New Patient Information Form
    PDF / Online Form
  • Sports Physical Form
  • Authorization for Medical Treatment of Minors

If you do not have AdobeReader® installed on your computer, Click Here To Download.