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            Make an Appointment
            Call Greater Houston Urogyn - Museum District at (832) 924-8788
            Make an Appointment
            Directions
            • Home
            • Our Physician
            • Location
            • Services

              Services

              • MonaLisa Touch
              • Urology
              • Gynecology
              • Urogynecology
            • Patient Center

              Patient Center

              • Patient Portal Support
              • Newsroom
              • Patient Portal
              • Patient Center
              • Patient Forms
              • Patient Education
              • Patient Rights & Responsibilities
            • Directions
            • Health Portal

            Patient Forms

            • Greater Houston Urology /
            • Patient Center /
            • Patient Forms
            • Patient Center
            • Patient Portal Support
            • Newsroom
            • Patient Portal
            • Patient Forms
            • Patient Education
            • Patient Rights & Responsibilities

            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

            • Patient Registration
            • Patient Consent
            • New Patient Questionnaire
            • Medical Records Release
            • Patient Financial Consent
            • Patient HIPAA Acknowledgement and Consent
            Greater Houston Urogyn
            Greater Houston Urology
            Greater Houston Urogyn - Museum District
            1200 Binz Street, Suite 1350
            Houston, TX 77004
            Phone: (832) 924-8788
            Fax: (832) 649-8375
            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