New Patient-Demographics -

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I Have No Insurance I agree to pay today for the services rendered by Rheumatology Center of Houston, PLLC.

Patient Communication Consent: We may need to contact when you are not in the office. This is to acknowledge that you authorize us to:

Leave a detailed message on voicemail. Yes No

Leave a detailed message with individual answering the phone. Yes No

Email you using an encryption software. Yes No

Text you. You understand that standard charges will apply through your mobile carrier. Yes No