Patient Forms

Check-in Quicker and More Easily by Downloading & Completing These Forms Before Your Visit

Find All Relevant Forms Here

We’ve made it easy to access the paperwork you need for your upcoming visit. Download and print the forms below, fill them out at home, and bring them to your appointment. This will save you time and allow us to better serve you.

If you have any questions or need assistance filling out the forms, don’t hesitate to contact us. Our friendly staff is always available to help.

Download forms here:

Important Instructions

Please make sure to carefully read and follow all instructions on each form. This will ensure that your information is accurately recorded and processed in a timely manner.

Some important things to note before filling out the forms:

  • All fields marked with an asterisk (*) are required.
  • Please use dark ink or type to ensure legibility when filling out the forms.
  • Make sure to sign and date the forms where indicated.
  • If you make a mistake while filling out the forms, please do not cross it out. Instead, use a single line to strike through the mistake and write the correct information above it.
  • If you have any questions or need assistance filling out the forms, please don’t hesitate to ask a staff member for help.

Once you have completed filling out the forms, please review them carefully before submitting. Any missing or incorrect information can cause delays in processing your request.

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Frequently Asked Questions (FAQs)

Q: Can I fill out forms at the hospital?

A: Yes, however, completing them in advance will save you time during check-in.

A: Bring your completed forms, a government-issued ID, insurance information, relevant medical paperwork a list of current medications, any relevant medical records or test results, payment method (if applicable).
A: Processing times vary depending on the type of form and any missing or incorrect information.
When : Payment is due at the time of service unless prior arrangements have been made.
How : We accept credit/debit cards, checks, and cash.
A: You will also receive an email invitation with a direct link after scheduling your first appointment.

1. Open the email invitation from our clinic.
2. Click the registration link provided.
3. Follow the prompts to create your username and password.
4. Once registered, you can log in anytime to view your medical records, communicate with your provider, and manage appointments.
Need help? Contact our front desk for assistance.

• You will receive a link via text before your appointment time.
• Ensure you have a stable internet connection and a quiet, private space.
• A medical assistant will call you prior to your visit to go over the reason for the visit.
• Your provider will send you a link to join them on a video call.

• General Questions : Call our front desk at 936-336-9175.
• Billing or Insurance : Contact our billing department at 936-336-7316 ext 284.
• After-Hours Concerns : For urgent medical questions outside of business hours, call 9-1-1.

Rhinogram is a HIPAA-compliant platform that lets you communicate with your care team by text—no app or portal needed.

What It Offers :
• Text Messaging : Send and receive secure messages with your provider.
• Telehealth : Join virtual visits via video or photo sharing.
• Digital Forms : Fill out forms from your phone before your appointment.
• Quick Access : No login, no waiting on hold—just text us directly.

It’s simple, secure, and designed to make your care more convenient.

Key Points to Remember

  • Don’t forget to update your personal information on forms if anything changes between visits.
  • Remember to bring the completed forms, your ID, insurance information, and relevant medical paperwork.
  • Processing times may vary based on the type of form and accuracy of information.
  • It is important to double-check all your forms before submission.
  • Keep track of any deadlines or due dates for form submissions.