Forms
New Patients Forms
Please complete the following forms AFTER you have scheduled your appointment:
Consent Form – English / Formulario de Consentimiento – Español
Intake Form – English / Formulario de Admisión – Español
Records Requests
- PDF Records Request Form
- submitted via email, fax, or mail
- may be used for any type of records request
- Online Records Request Form
- submitted online
- may only be used when records are to be sent to another provider
- best completed on touch screen device (such as phone or tablet) as signature is captured electronically
If you need assistance, please call our office at 713-500-2800, option 1.