Patient Forms

Please click on one of the links below to open and view a form:

• New Patient Registration
• Authorization To Release Medical Records
• Patient Consent To Treatment
• Notice Concerning Complaints
• Reportable Conditions In Texas
• Financial Policy
• PPO-HMO Network Insurance
• Medical Records
• Acknowledgement And Review Of Notice Of Privacy Practices
• Patient Record of Disclosure
• Notice of Privacy Practices Rio Grande Medicine

These forms are in PDF format (.pdf). Please download and install the latest
version of Adobe Reader if you cannot open the files.

Hours of Operation | Scheduling Appointments

Front Desk: 956-421-2757 (8:00 am to 6:30 pm)

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