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 to you prior to your visit. By booking an appointment online and completing your forms prior to your visit, you can greatly reduce your wait time in our lobby.

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

Patient Privacy Forms

HIPAA Authorization Form
Privacy Practice
Privacy and Billing Procedures
Privacy and Billing Procedures – Spanish

Registration Forms

Patient Registration Form
Patient Registration Form – Spanish

Medical Records Release Form

Authorization to Release Protected Health Information