- HPS Full Packet
- HPS New Patient Intake
- Urine Toxicology Testing Protocol
- SOAPP-R Questionnaire
- Patient Disclosure Form
- Medication History Consent
- Medication:Opiod Contract
- Photo&Video Consent for Medical Use
- HIPAA Disclosure: Patient Contact & Verbal Release of Info Consents
- Code of Conduct
- Authorized Release of Protected Health Information
- New Patient Pain Assessment Form
- Financial Policy
- Assignment of Benefits
- Notice of Privacy Practices
Patient Forms
What we offer
Conditions & Treatments
Location
5420 Dashwood Dr., Suite 103
Houston, TX 77081
Phone: 713-664-2662
Fax: 713-987-7691
Office Hours