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Texas Orthopedics, Sports & Rehabilitation Associates

Forms & Policies

Thank you for choosing Texas Orthopedics for your orthopedic care. Once you have made your initial appointment, we encourage you to download and complete the patient history and intake form prior to your first visit and bring it with you. If the patient is a minor that needs to be seen without a parent or guardian, the “Authorization to Treat a Minor” form will need to be completed in order for us to treat a minor. 

New Patient Forms

Please fill out the following forms prior to your first appointment. If you choose to fill these forms out in our office, please arrive 15 minutes prior to your scheduled appointment time.

HIPAA Statement

Prescription Policy

Medical Records Release

Authorization to Treat a Minor

Please note: It may take a few minutes to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.

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Referrals

Orthopedic Office Visit

If your insurance is an HMO/managed care plan and you are required to obtain a referral from your primary care physician, the referral must be obtained before you can be seen for an office visit. Please coordinate this with your primary care physician in advance. Appointments will be rescheduled if required referrals are not received in the office by the time of your visit.