For your convenience, you can download fill-able pdf forms right here from your patient portal. These forms require Adobe® PDF software to view or complete. You can download a free copy from https://get.adobe.com/reader/ (link will open up a new window or tab). If there is a form that you need that is not listed, please call us at (832)915-8140.
File Name | Description | Action |
---|---|---|
Patient Initial Intake Form | This form is for first-time patients only. |
Download |
New Patient Health Information | Use this form to provide all your health information |
Download |
New Patient Health Information - Previous Health Problems | Use this form to list any previous health problems |
Download |
Testimonial Release Form | Use this form to grant us permission to share your testimonial |
Download |
Notice of Privacy Policy and Practices | This form contains C.A.R.E Surgery Clinic's privacy policy and practices. |
Download |
Anti-Reflux | Important information on Anti-Reflux surgery and recovery |
Download |
Gall Bladder | Important information on Gall Bladder removal surgery and recovery |
Download |
Inguinal Hernia Repair | Important information on Inguinal Hernia Repair surgery and recovery |
Download |
Morbid Obesity | Important Information Morbid Obesity surgery and recovery |
Download |
Upper Endoscopy | Important information on Upper Endoscopy surgery and recovery |
Download |
Ventral Hernia Repair | Information on Ventral Hernia Repair |
Download |
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