Contact Us Today!

Saxum Medical Services
5446 Lipes Blvd,

Suite 101
Corpus Christi, TX 78413


Phone: (361) 992-5655

Fax: (361) 992-0665

E-mail: info@DoctorAlmanza.com

Patien Forms

Please feel free to download the patient forms below. This will help expidite your initial intake appointment. The forms may be used for both Dr. Ruben J. Almanza, MD PA (our insurance based clinic) and for Saxum Medical Services (our direct-pay clinic).

 

Demographics Form
DEMOGRAPHIC INFORMATION.pdf
Adobe Acrobat document [481.3 KB]
Medical History Form
MEDICAL HISTORY FORM.pdf
Adobe Acrobat document [503.0 KB]