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Patient Forms


To help expedite your visit, please print and fill out these forms and bring them to your appointment. If you need help or have questions, contact us at (713) 893-0650.

Patient Information Form

Authorization to Release Healthcare Information

Varicose Vein Questionnaire

Fibroid Consultation Questionnaire

Initial BPH Consultation Questionnaire

Alate Health
1213 Hermann Drive, Suite 255
Houston, TX 77004
Phone: 713-955-1707
Fax: 713-955-1699
Office Hours

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