Save time at the office by printing out these downloadable patient registration forms and filling them out before you come in for your appointment.
Patient Registration Form (& Medicare Lifetime Beneficiary Claim Auth & Info Release) – (Required by All Patients)
Receipt of Privacy Notice (HIPAA Notice) – (Required by All Patients)
New Patient Registration Packet (Includes HIPAA Notice and Registration Form) – (Required by All New Patients for Dr. Bannan)
To schedule an appointment, call us at 713-781-4600.