Pre-Visit Forms & Information

If this is your first visit at NeuMed, please complete these forms.

General Forms and Procedures

At NeuMed, we know that convenience is important to you. That’s why we make our patient intake, privacy and informational forms available for you to complete online or your smart device prior to your visit. By booking an appointment online and completing your forms prior to your visit, you’ll arrive ready to go.

If you have any questions about the forms, please call us at (832) 879-2450.

Patient Privacy Forms

HIPAA Authorization Form
Consent for Medical Care & Treatment

Medical Records Release Form

Authorization to Release Protected Health Information