Resources & Forms

Providing Services For Your Timely Occupational Medical Needs

Get access to important forms for patients, related websites, and information regarding our services in South Central Texas. To better and more efficiently serve your needs, please download the necessary PDFs or click the links to helpful websites below.

Drug Testing

Synthetic Stimulants Drug Test Panels Information Sheet


DOT Driver Exam Information San Antonio Map Austin Map
Southeast Texas Map Employer Packet Employer Profile Form (New Company Information and Existing Account Updates)
Work Related Injury Temporary Account Form Treatment Authorization Form - Occupational Services Treatment Authorization Form - Work-Related Injury

Texas MedClinic Information

Billing and Payment Policy Notice – Use of Recording Devices Notice of Privacy Practices - English
Notice of Privacy Practices - Spanish Medical Records Request Request for Billing Statement
Consent for Telemedicine CARES Act Cash Price Notice List of Accepted In Network Insurance
COVID-19 Questionnaire USCIS (formerly INS) Medical Exam Process

Pro Sports Rehab

Pro Sports Rehab Brochure Pro Sports Rehab Referral Request for Statement
Billing and Payment Policy

Email Encryption

Patient Email Encryption Handout Employer Email Encryption Handout

Helpful Links to Websites

Information Regarding Tb Texas Workforce Commission Website Texas Department of Insurance Workers' Compensation
Information Regarding MRSA DOT Physical Guidelines DOT Regulations for Drug Testing
Drug Testing in the Workplace Texas MedClinic Employer Portal
Urgent Care Online Check-In with Texas MedClinic

The doctor & staff were extremely professional & courteous. I was seen in a timely manner & was treated promptly. When I called back with a medical question, they answered it in a nice & caring manner. I highly recommend this location for urgent care.

- Adela U.
IH 10 W / Wurzbach Clinic
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