Working United in the community to better healthcare
Give us a Call
713-526-1212
Send us a Message
info@houstonmedicalgroup.org
Opening Hours
Mon - Friday: 9AM - 5PM

Houston Medical Group offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

 

Patient Intake Form

 

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form

 


 

Patient Intake Form 2

 

Download & Print Form

 


 

Request to Access Health Records

 

Download & Print Form

 


 

Houston Medical Group Survey

 

Download & Print Form

 


 

Notice of Privacy Practices

 

Privacy Practices Form