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Patient Forms

Preparing for Your First Visit

Obtain the doctor's prescription

  • Schedule your appointment
    Call 281-344-8900

Verify Your Insurance

  • Provide our staff with your insurance information.
  • They will call and verify coverage.
  • They will notify you of your co-pay and deductible.
  • Refer to your insurance booklet or website for information about your benefits.

Complete the Patient Forms

BRING THE FOLLOWING TO YOUR FIRST APPOINTMENT

  1. Doctor's prescription
  2. Patient Registration
  3. Patient History
  4. Benefit Verification
  5. Patient Authorization
  6. Statement of Privacy Notice
  7. Driver's License/Picture ID
  8. Insurance Card

Frequently Asked Questions


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