512-943-9885 info@orientalmedicineassociates.com
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Oriental Medicine Associates
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PATIENT FORMS

You will receive a new patient email with your e-forms attached, these can be filled electronically and will automatically submit. If you do not receive your email or prefer a hard copy, please use the links below to print and fill your forms.

PATIENT PRIVACY POLICY
(FOR YOUR RECORDS ONLY)

HIPAA FORM

PATIENT INFORMATION FORM (FILLABLE FORM)

PHYSICIAN EVALUATION FORM

INFORMED CONSENT & ARBITRATION FORM

1821 Westinghouse Road, Bldg 1
Suite 1180
Georgetown, TX 78626

Monday – 9AM – 5PM
Tuesday – Closed
Wednesday – 9AM – 5PM
Thursday – 9AM – 5PM
Friday – 9AM – 5PM
All hours are by appointment only

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