New Patient Forms

New Patients – Fill Out Forms Prior to Your First Visit

Our office adheres to the requirements outlined by the Health Insurance Portability and Accountability Act (HIPAA), which ensures the security and privacy of an individual’s medical records and promotes privacy and trust between patients and their healthcare providers.

As part of HIPAA requirements, all new patients seeing their healthcare provider upon their initial visit are required to sign an acknowledgment form to indicate that they have received the Privacy Notice. The Privacy Notice describes how the hospital/provider uses and shares your personal health information.

Call or e-mail us for more information about your privacy rights as a patient.

Please fax to (281) 304-9930

Patient Forms

Visit Our Office

Cypress, TX

16316 Spring Cypress Rd, Cypress, TX 77429


Book Now

Office Hours

  • MON - FRI8:00 am-6:00 pm
  • SAT - SUNClosed
(281) 304-9911