Fondren Office
(713) 781-4600
Sugar Land Office
(281) 491-5200
Hillcroft Medical Clinic - Doctors serving Houston and Sugar Land since 1948

Patient Registration Forms & Privacy Notifications

The downloadable patient registration forms are for your convenience.

Save Time:  Print your forms and complete them before you see your doctor.

Patient Registration Form (& Medicare Lifetime Beneficiary Claim Auth & Info Release)
(Required by All Patients)

Receipt of Privacy Notice (HIPAA Notice)
(Required by All Patients)

 

Call the location nearest you to schedule an appointment.