| New
Patient Forms
 For
your convenience, we have downloadable new patient forms.
(These forms are stored in the Adobe PDF format
to assure accurate reproduction. You will need an Adobe
Reader program to open these downloaded files. If you
do not have this program, your internet software should
automatically download a free software copy after you
click on one of the prep instruction names below. If
this does not occur, please click on the Adobe icon
above and follow the directions to receive your free
software.)
North
Houston Gastroenterology Clinic, P.A.
Houston Colon Cancer Screening Center
The Infusion Center
| 1. |
New Patient Information and Financial Responsibility
& Confidentiality:
Please download, print and complete the
following forms (6 pages) prior to your first
visit:
CLICK
TO DOWNLOAD PDF FILE |
|
The privacy of all practice information is protected
in accordance with the clinical practice guidelines
of the the Texas Board of Medical Examiners and the
Health Insurance Portability Assurance Act (HIPAA).
|
