At Houston Female Urology we strive to get you in to see our providers as soon as possible. One way we do this is to require all our new patients to complete the New Patient Packet prior to getting an appointment.
Upon completion of the forms you can fax the papers as well as a copy of your insurance card to (281) 206-7597 or mail them to us. When we receive the forms you will be contacted the same day (or no later than 24 hours) and get you an appointment on the calendar.
Citas disponibles en español.
New patient packet
Please click the button above to download, then print, and fill out, the forms. Don't forget to also send a copy of your insurance card.
FORMS AND POLICIES
CLICK ON EACH TO VIEW:
- Prescription History Consent
- Financial Policy
- HIPAA Notice of Privacy Practices
- Bladder Diary
- Medical Records Release Form
Visit Our Patient Portal for Registered Patients. You must have a valid e-mail address in order to use the patient portal. This can be given at the time of your appointment.
Request a Consultation