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            Directions
            • Home
            • Locations
            • Services
            • Our Physicians

              Our Physicians

              • Browse all doctors
            • Patient Center

              Patient Center

              • Newsroom
              • Telehealth Visits
              • Annual wellness visits
              • Patient Forms
              • Patient Education
              • Patient Rights & Responsibilities
              • Online Bill Pay
              • Patient Portal
              • Medical Records
            • Referring Providers
            • Directions
            • Patient Portal
            • Pay My Bill

            Patient Forms

            • Houston Heart /
            • Patient Center /
            • Patient Forms
            • Patient Center
            • Newsroom
            • Telehealth Visits
            • Annual wellness visits
            • Patient Forms
            • Patient Education
            • Patient Rights & Responsibilities
            • Online Bill Pay
            • Patient Portal
            • Medical Records

            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 for Financial Communications
            • Medical Records Release
            • Patient HIPAA Acknowledgement and Consent
            Houston Heart
            Houston Heart
            Houston Heart
            1200 Binz Street, Suite 900
            Houston, TX 77004
            Phone: (713) 522-0220
            Fax: (713) 522-0232
            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