Patient Forms
- Registration Form
- Cancellation Policy Form
- Family History Form
- New Consent Form
- Billing Payment Form
- Patient Authorization To Release Form
- Medical Release
Dr Nelson Tajong provides gastroenterology care for patients in Conroe/ Montgomery, The Woodlands and Spring, and Kingwood/Humble areas. He also offers same day or same week appointments. Call us at 936.828.3962 for details.
In order to help your experience with us be as comfortable as possible and avoid any delays, we ask that during your visit you please bring the following:
- Your Photo ID and completed FORMS below
- A list of your questions /concerns
- Health Insurance Card/Information
- A list of all medications you are taking
- Copies of records from doctors related to your visit with us
- Someone if needed, to take notes/help with questions
If your insurance plan requires a referral form from your primary care physician, then you must provide the completed form at the time of your appointment. We also want to make sure we have your most up-to-date information so please be sure to verify your current address and insurance information during your visit. We accept most insurance plans at this time. Please call our office if you have any questions.
For your convenience, please print and fill out the necessary patient forms prior to your visit to avoid any delays.
