Pediatrics Around The BendFort Bend PediatricsRaymond A. Kahn, MD, FAAP
Paige Garrison, MD, FAAP
Najma Rinard, MD, FAAP
New Patient Forms
To help expedite your initial visit to our office, please download and complete all of the forms on this page. Please note: Adobe Acrobat® is required to view/print these forms and can be downloaded for free here.

All Forms (download as a group)

New Patient Registration Form

New Patient Record

New Patient/Family History

New Patient Authorization Of Release Of Medical Information

Notice Of Privacy Practices

Authorization To Consent To Treatment
(For Texas' rules regarding consent to treatment of a minor, please click here)

Patient Rights And Responsibilities

Financial Policy
(For Texas' rules regarding medical record release and charges, please click here)

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