Patient Forms


 

COVID-19

Response Plan (pdf)

Patient Letter (pdf)

Welcome Letter

This letter outlines what is expected before the first visit to Katy Rheumatology and Associates.
Welcome Letter (pdf)

General Forms

Consent for Treatment
Acknowledgement and Consent
Authorization to Release Information to Katy Rheumatology
Authorization to Release Medical Records from Katy Rheumatology
New Patient History Form
Patient Questionnaire (RAPID5)
Patient Consent for Use of Electronic Communication
Telehealth Informed Consent

Patient Privacy Notice

Patient Privacy Notice

HIPAA Consent

Osteoporosis Forms

Osteoporosis Questionnaire

Office Policy & Procedures

This document details our office policies for patients. The new patients should read this document to know what to expect from Katy Rheumatology & Associates. The document should answer most general questions on billing, returned checks, appointments, disability forms, medical records, labwork and other patient instructions.
Office Policy & Procedure (pdf)

Request for Restriction

Patients use this form to inform Katy Rheumatology of the restrictions on the medical information the practice provides to the patient.
Request for Restriction (pdf)

Location
Katy Rheumatology & Associates
402 Park Grove Dr.
Katy, TX 77450
Phone: 281-941-6923
Fax: 281-578-7450
Office Hours

Get in touch

281-941-6923