Forms

Consent Form - Needs to be filled out by the patient/parent prior to video/in-person evaluation by Dr. Nath


Medical Records Release - Needed for our office to request records to be sent to Dr. Nath

Medical Records Request -  Requesting Dr. Nath to send records to another location

Third Party Consent - Should be filled out patient/parent has someone they would like for our office to speak with regarding medical condition/financial 

Patient Referral Form - Should be filled out when patient/parent are willing to have potential patients contact them regarding their experience

New Patient Packet - Can be printed and filled out prior to initial visit with Dr. Nath

TCH Release - Texas Children's Hospital release required form