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            Directions
            • Home
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              Patient Center

              • Patient Forms
              • Patient Education
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              • Online Bill Pay
              • Patient Portal
              • Patient Portal Support
            • Contact Us

            Patient Forms

            • Complete Women's Care Center /
            • Patient Center /
            • Patient Forms
            • Patient Center
            • Patient Forms
            • Patient Education
            • Patient Rights
            • Online Bill Pay
            • Patient Portal
            • Patient Portal Support

            Patient Registration Forms

            If you are a new patient, please fill out the registration forms listed below in advance of your appointment to assist the staff in making sure that we have all the information necessary to provide you with quality care and treatment. Please bring the completed forms with you to your appointment.

            Registration Forms

            • New Patient History Form - Adult
            • New Patient History Form - Adolescent
            • HIPPA PHI Disclosure Form
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            Complete Women's Care Center
            Medical Center Office
            7900 Fannin Street, Suite 3000
            Houston, TX 77054
            Phone: (713) 791-9100
            Fax: (713) 791-1016
            Contact Us
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            Copyright 1999-2025 C-HCA, Inc.; All rights reserved.
            Notice of Privacy Practices | Terms & Conditions | California Notice at Collection | Privacy Policy
            Social Media Policy | Acceptable Use Policy | HCA Nondiscrimination Notice
            Surprise Billing Protections | Cookie Preferences | Right to Receive Estimate | Accessibility | Disclosures