Patient Forms

Items to bring to each appointment:

Thank you for choosing Internal Medicine Associates of Texas for your medical care. There are always an increasing number of questions regarding our participation with your healthcare plan. We will always try our best to verify insurance prior to your visit; however you are responsible to verify that our office is a covered provider within your network.

1. Picture ID - your records are kept by the name on your picture ID
2. Insurance Card - Name on insurance card must match your ID
3. Method of Payment - we collect a copayment and deductibles at every visit

Online Appointment Forms

The following forms can be downloaded to your computer and printed at home. By filling out these forms ahead of time, you will save a significant amount of time during your visit. Please be prepared to provide this information to our office along with your current medical insurance information. If you have any questions when filling out these forms, please do the best you can and our staff will assist you with your questions on the day of your visit.

• Consent and Release Form
• Medical Release Form
• Patient Registration Form
• Office Protocol
• Patient Medical History Questionnaire
• Patient Portal