NEW PATIENT INFORMATION FORMS

New Patient paper work Dr Darvishi (pdf)
HIPPA Acknowledgement (pdf)
Notice of Privacy Practices HIPPA (pdf)
TMB Complaint Notice (pdf)
Auth for release of information (pdf)
Telemedicine Informed Consent form PDF (pdf)
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Patient Care, Customer Satisfaction, Honesty, Mutual Respect, Supportive Environment, Creativity, and Enthusiasm.
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  • 3233 Woodward Drive Huntsville, TX 77340
  • 3115 College Park Dr. Suite #108 The Woodlands, TX 77384
  • 936-439-5213
  • 936-439-5216
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