Before You Begin — Please Review & Acknowledge

To become a patient at Gruene Lake Medical, please read and acknowledge the items below. All are required to continue to the registration form.

⚠ We Are NOT Accepting New Medicare or Medicaid Patients

Gruene Lake Medical is not accepting new Medicare or Medicaid patients at this time. If your primary insurance is Medicare or Medicaid, we are unable to establish you as a new patient.

Provider Team

Gruene Lake Medical is a team practice. Our physicians work alongside Nurse Practitioners (NPs) and Physician Assistants (PAs), who are licensed, experienced providers trained to deliver the same quality of care. Dr. Boecker sees our newborns and infants; our NPs and PAs see our adult panel and same-day sick appointments.

Vaccine Policy

Gruene Lake Medical follows the vaccine schedules recommended by the CDC and the American Academy of Pediatrics for all our patients, adult and pediatric. We believe vaccines are a foundational part of the care we provide and we do not accept unvaccinated children into the practice.

Use of AI Tools

Gruene Lake Medical uses secure, HIPAA-compliant AI tools to help with visit documentation and administrative tasks. During your visit, an AI scribe may listen to help document your conversation with your provider, who reviews and finalizes all notes. AI assists our team but never replaces it, and your provider remains responsible for your care.

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830-627-2700

Baby Consultation Questionnaire

Prepare for your baby's first visit

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Mother's Information

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Enter "NA" if not applicable
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Insurance Information

Check this box to automatically fill insurance fields as not applicable
Enter "Self-pay" if not using insurance
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Policy Holder's Information

Enter "Same as mother" if applicable
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Enter "Same as mother" if applicable
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Pregnancy History

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Enter "None" if not applicable
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Enter "NA" if female or undecided
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Enter "None" if no concerns
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Important: Mother's Insurance Information

Please note: Newborn babies are typically covered under the mother's insurance policy for the first 30 days of life. This is why we collect the mother's name and date of birth in the section above.

We will use the mother's information provided above to:

  • Process insurance claims for your newborn's first 30 days
  • Verify coverage and benefits
  • Coordinate care with your insurance provider

After 30 days, your baby will need to be added to your insurance policy as a dependent. Please contact your insurance provider to complete this process.

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Thank You!

Your baby consultation questionnaire has been submitted successfully.

Our staff will review your information and we look forward to meeting you and your new baby!

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