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      Kingwood Internal Medicine Specialists
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          Kingwood Internal Medicine Specialists
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            Directions
            • Home
            • Locations
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            • Our Physicians
            • Patient Center

              Patient Center

              • Annual wellness visits
              • Patient Forms
              • Telehealth Visits
              • Patient Education
              • Patient Rights & Responsibilities
              • Online Bill Pay
            • Contact Us
            • (281) 312-4838
            • Directions
            • Health Portal
            • Bill Pay

            Patient Forms

            • Kingwood Internal Medicine Specialists /
            • Patient Center /
            • Patient Forms
            • Patient Center
            • Annual wellness visits
            • Patient Forms
            • Telehealth Visits
            • Patient Education
            • Patient Rights & Responsibilities
            • Online Bill Pay

            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 and Consent
            • Registro de Pacientes y Consentimiento para Tratar
            • Medical Records Release
            • Patient HIPAA Acknowledgement and Consent
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            Kingwood Internal Medicine Specialists
            Kingwood Internal Medicine Specialists
            22751 Professional Dr., Suite 120
            Kingwood, TX 77339
            Phone: (281) 312-4838
            Fax: (281) 312-4866
            Contact Us
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            Copyright 1999-2023 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 | Right to Receive Estimate | Accessibility | Disclosures