It is very important that we have as much medical information about you as possible before your visit. In order to expedite your appointment, please fill out the forms below.
Thank you in advance for your help. We look forward to seeing you soon!
- I consent to receive the following documents electronically which are available through our website, unless I request a non-electronic paper copy of the documents disclosed herein.
- Texas Neurosurgery’s Notice of HIPAA Privacy Practices
- Texas Neurosurgery’s Financial Policy
- Texas Neurosurgery’s Medication Policy/Agreement
- Texas Neurosurgery’s Physician Assistant Information Guide
- Texas Neurosurgery’s Disclosure of Physician Ownership
- I authorize: The release of any medical and/or other information necessary to process my claim(s)
- Payment of medical benefits to my treating physician or supplier for services rendered by Texas Neurosurgery
- Consent for treatment by my treating physician with Texas Neurosurgery
- I have read and understand/agree to abide by all the above policies and authorizations of Texas Neurosurgery.