New Patients

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Instructions

The doctors of Blue Fish Pediatrics have decided to restrict the size of our practice to continue to provide the best quality of care for our patients.  The information on this form will be used to that end.  After filling out the application, return the form via email, fax, or mail. You will be notified when we are able to accommodate new patients.  Please continue to see your current pediatrician until that time.

NEW PATIENT APPLICATION (MEMORIAL)

NEW PATIENT APPLICATION (CYPRESS)

NEW PATIENT APPLICATION (KATY)

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Thank you for choosing Blue Fish Pediatrics.  To register a new patient, please download and fill out all of the following forms. We ask you to have these forms completed, signed, and dated before you arrive so that your wait period is not longer than necessary.

You can download all of the forms at one time by clicking here:

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All New Patient Forms (MEMORIAL)

All New Patient Forms (CYPRESS)

All New Patient Forms (KATY)

All Newborn Patient Forms

Transfer of Medical Records Authorization (LINDSAY)

Temporary Guardian Consent Form

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You may also download each file individually. Below is a brief explanation of each form as well as a link to download the form.

*IF YOU ARE A LINDSAY PATIENT, USE THIS FORM: Transfer of Medical Records Authorization (LINDSAY)

Transfer of Medical Records Authorization (CYPRESS)

Patient Medical History Questionnaire (CYPRESS)

If you are having problems filling out these forms, please contact our office at 713-467-1741. If it is after hours, please leave a message and a receptionist will contact you the following business day.