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https://www.texasliver.com/patient-forms/

Liver Specialists of Texas: Patient Forms

New patients that have been scheduled an appointment with us can click on the following forms needed for proper processing. 

We ask you fill these forms ahead of time 

ALL NEW PATIENT FORMS

 

Welcome Packet -Consent Form, Registration Form and Intake Forms

 


 

MEDICAL RECORDS: We will need medical records pertinent to your visit so please obtain these records recent (labs, CT scan/MRI/ultrasound, office notes) and fax to 713-794-0610 or bring them with you at time of visit

 

INSURANCE: If your insurance requires a referral, please be sure and contact your primary care and fax to 713-794-0610 or bring it with you at time of your visit. 

 

FOR APPOINTMENT REMINDERS: PLEASE TEXT the word Galati to 622622 

 

If you have any questions regarding these forms, feel free to contact Liver Specialists of Texas at 713-794-0700. Our staff will be happy to assist you.