(713) 799-9975

Forms

We strive to provide our patients with quality care in a timely manner. To minimize your wait time, you may choose to print your patient registration forms and complete them prior to your visit. Please present these forms along with your insurance card to our front desk when you arrive for your appointment.

New Patient Registration Forms (English)

New Patient Registration Forms (Spanish)

 

For your convenience we have several other important forms readily available to you as well.

Notice Of Privacy Practices

Notice Of Privacy Practices (Spanish)

Authorization for Release of Protected Health Information

Financial Policy

 

Referring Physicians

Consultation Request Form