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new patient form
 
new patient form
As most of you know, processing the paperwork prior to your visit can be very time consuming. In order to save time, please print out the forms below and fill them out prior to your visit. One form is for the Doctor and the other is for the business office. For best results, please fax the forms prior to your visit.

Patient Questionnaire
Notice of Privacy Practices

Fax numbers:
Memorial City Office 713-464-6560
Katy Office 281-392-7814

Please bring the forms with you even if you fax them. If your insurance requires a referral form from your primary doctor, please bring that form as well.

Thank you.



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Pay Your Bill  |  Directions & Contact Us  |  Related Links  |  Research  | Survey

THE LAW AND CPA FIRMS OF MICHAEL F. ARVIN