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Please read the description below for each form. Each form can be printed out for completion.

New Patient Registration Form
This form is required for registration when you arrive for your first visit at Baylor Family Medicine. Please bring it to the office on the day of your first appointment. If you have any questions regarding this form, please call 713.798.7700.

Medical Records Release of Information Form (English)   (Spanish)
This form is required to have medical records released from BFM or to have medical records sent to BFM. If you are unable to submit this form in person to BFM, you may mail it to BFM or you can fax it to 713.798.7775. If you have any questions regarding this form, please call 713.798.7460.

Travel Medicine Patient Questionaire

Forms are also available through Online Patient Services

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© 2007 Baylor College of Medicine ®. All rights reserved.
Baylor Family Medicine at Baylor Clinic: 6620 Main St. Suite 1250, Houston, Texas 77030     Phone: 713.798.7700 Fax: 713.798.7775
3701 Kirby, Suite 100, Houston, TX 77098
last modified on June 1, 2007