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PATIENT FORMS

FOR ALL NEW PATIENTS - Please fill out and print the new patient registration form and the appropriate clinical questionnaire. You may email them to clinicrotenberg@houstonspecialtyclinic.com.
 

Completing forms in advance will speed your visit on the day of your appointment. 

 

Please also review our office policies and consents. You can sign these forms electronically in the office.

Established Patient Forms

Neurology​

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Pulmonary

Chronic Care

  • Forms coming soon!

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HIPPAA Compliance​

Established Patient Forms

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