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New Patient Registration Forms

New Patient Registration Form_v.5.1 (ENGLISH) (pdf)Download
New Patient Registration _v.5.1_(Spanish) (pdf)Download

Medical Release Forms

AUTHORIZATION TO RELEASE HEALTHCARE INFORMATION-SUGARLAND_V1.0_25NOV2024 (pdf)Download
AUTHORIZATION TO RELEASE HEALTHCARE INFORMATION_W. HOUSTON_V1.0_25NOV2024 (pdf)Download

Text Messaging Consent

TEXT MESSAGING CORRESPONDANCE CONSENT FORM-09DEC2024 (pdf)Download

Document Submission

Instructions - How to Attach Documents to Your Submission

These instructions will help you prepare and attach your completed forms and any additional documents required for your submission. 


  • Complete the fields: Complete any required fields related to the document, such as description, date, or any other relevant details. 


  • Attach Your Document: Select "Attach File" button. Browse your computer to locate the document you intend to submit, select it, and confirm the upload. 


  • Submit the Document: Click the "Submit" button to finalize your submission. You should receive a confirmation message indicating that your document has been successfully submitted. 

Submit Document(s)

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Notice of privacy practices

AMRC Notice of Privacy Practices (pdf)Download

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