Patient Health Forms and Privacy
New patient forms can be lengthy and time-consuming to handle. For your convenience and to shorten your stay in our waiting room, health history questionnaires for both adults and children are available through the links below so they can be completed prior to appointment day. You can also link to the Patient Information and Consent form first page. The signature page of this document will be provided in the office. Completed Patient Health History Questionnaires and Information and Consent forms are required of all new patients.
We protect patient information in accordance with federal (HIPAA) and state (TX HB 300) regulations. Documents pertaining to these regulations and our procedures will be provided when you visit the office, including a consent form that grants patient, parent or guardian permission to use patient information under specific conditions.
We provide patients with access to secure email and a patient portal through which you can communicate with the office. Your authorization is required for this access.
At your first appointment, you will receive various authorization forms for your review and signature. Legal standards require that such signature pages are signed and dated in the office, however, these will take only a few minutes to do.
Please take a moment to click on the links below to see what information is needed on the forms. We invite you to enjoy the convenience of downloading, completing and printing them in advance to bring to your office visit. This will save you much time on appointment day.
If you have questions, please call us at 214-774-4475.
PEDIATRIC PATIENT HEALTH HISTORY
PATIENT INFORMATION AND CONSENT