Use the links below to download Adobe PDF versions of our new patient forms. You can fill out the forms on your desktop computer and email them back to HNI at ptinfo@hnineuro.com or send them via FAX to 713-947-6103.
You can download all six forms using the first option, New Patient Packet, or download just the form HNI staff has requested you complete.
Adobe Acrobat Reader is available as a free download here:
New Patient Packet
This download includes all six documents listed below in a single PDF file.
Demographics
Patient Contact and Insurance information. Please complete and return.
Medical History
Use this form share your Medical History with HNI.
Refill Agreement
HNI’s Prescription Refill policy and agreement. Please complete and return.
Privacy Complaints
HNI’s Privacy Complaints Policy and Process. Please keep for your records.
