Texas Family
Pediatric Group
Call Us
Richmond: 281-240-8374
Missouri City: 281-208-9503
 

 

 

 

New Patients: Insurance Forms & Policies

Important Forms to be completed

In order to provide the best possible health care to your child, it is important that we receive a full copy of your child’s health records, the new patient forms and also immunization records. All the forms that you will need to fill out are available on our website; you can download them by clicking on the links below. You are required to fill them out and bring them with you to reduce your wait time.

Given below are links to all the forms and documents that you will need to read and sign before becoming new patient of our practice.

 

  New Patient Packet

  Financial Policy

 Medical Records Release Form*
* This form is required when transferring from another office

  Notice of Privacy Practices

  Vaccine Policy Statement

 

Insurance Plans:

We accept most major health insurances; however, if your particular insurance is not listed, please feel free to contact us by calling our main number to inquire about your specific plan. Please click on the link below to get a list of health insurance plans accepted by us.

List of health insurance plans