All that Required Doctor Paperwork!

Our fax number is 281-491-0033 if you want to send your completed forms (with *) and your insurance cards ahead so we can start your record, but please bring originals with you for us to put into your chart. The Disclosures and Exercise downloads are for your information only.

The forms under the * are required.

CHI Medical History*

Patient's Medical Information

Current Medication Record

CHI Surgery Info

Surgery Schedules/Facility Disclosures

Importance of a Pre-operative Clearance

Routine Care for Total Joint Patients

CHI Billing Forms*

Adult's Billing Information & Annual Update

Child's Billing Information & Annual Update

Other Patient Info

Payment Policies

Exercises

Walking Conditioning Program

Office Policies

Payment Agreement & Annual Update

Our HIPAA Policy

CHI Special
Authorizations

Unaccompanied Minor Child Treatment Authorization

To Share My Confidential Medical Information

Release Medical Records to Dr. Parr

Release Medical Records to Another Physician

For after-hours orthopedic emergencies, Dr. Parr prefers you call him directly at 281-491-7111 or 281-537-4318. He may be able to help you get treatment faster and save you an expensive ER bill.