New Patients

For More Information or To Make An Appointment Please Fill Out The Form Below And Someone From Our Office Will Call You

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On your first visit to Serenity Gynecology and Functional Medicine you will need to bring your

  • Driver License/Photo ID
  • Insurance Card(s)
  • Co-pay which are due at the time of service

For General Gynecology visits click the link below to print out your patient forms and have them completed at the time of your visit. If unable to fill them at home please arrive 20-30 minutes early to complete. If not filled we have the right to reschedule. General gynecology maybe covered by insurance, please call if any questions. MEDICARE not accepted at this time, special pricing is available.

Online Patient Forms

For Functional Medicine evaluations, please click on the link to the online form below These forms need to be completed 24 hours before the visit so that I may be prepared at the time of your visit. **This cannot be done on a tablet or phone**

Adobe Acrobat Reader DownloadIn order to view or print these forms, you will need Adobe Acrobat Reader installed. Click here to download it.

For FUNCTIONAL MEDICINE evaluations we do NOT accept medical insurance. If there are any questions please call the office for clarification.


Initial Visit

  • 60 minutes $400
  • 90 minutes $600

Follow-up Visits

  • 30 - 45 minutes -pro rated based on time spent
  • 60 minutes $400

Payment in full is required at the time of the appointment. We accept VISA, MasterCard, Discover, Cash and Care Credit.

Laboratory Services

For our patients with insurance routine lab tests can be ordered from BioReference, LabCorp and Quest Labs or participating lab and maybe covered by insurance. Functional Medicine labs are usually not covered by insurance but may have special pricing.


We are located at 220 N. Park Blvd #100 Grapevine TX 76051
Office Hours: Monday-Thursday 9:00AM-5:00PM Friday 9:00AM-2:00PM

Office: (817) 280-9616
Fax: (817) 722-6328

Contact Us