Welcome to C.A.R.E Surgery Clinic, General & Bariatric Surgery

  • 3351 Plainview, Suite A-7 Pasadena, TX 77504
    10905 Memorial Hermann Drive Suite 211, Pearland, TX 77584

  • Call Us: (832)915-8140

Downloads



Downloads


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. 

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New Patient Health Information

Use this form to provide all your health information 

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New Patient Health Information - Previous Health Problems

Use this form to list any previous health problems

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Testimonial Release Form

Use this form to grant us permission to share your testimonial 

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Notice of Privacy Policy and Practices

This form contains C.A.R.E Surgery Clinic's privacy policy and practices. 

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Anti-Reflux

Important information on Anti-Reflux surgery and recovery 

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Gall Bladder

Important information on Gall Bladder removal surgery and recovery 

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Inguinal Hernia Repair

Important information on Inguinal Hernia Repair surgery and recovery 

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Morbid Obesity

Important Information Morbid Obesity surgery and recovery 

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Upper Endoscopy

Important information on Upper Endoscopy surgery and recovery 

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Ventral Hernia Repair

Information on Ventral Hernia Repair

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