Texas Ave.Medical Clinic Dr. Rany Cherian, M.D.

Welcome to
Texas Ave. Medical Clinic

As health care providers we ensure patient care is equal for all of humanity to the best of our abilities.

Forms


For your convience and to save you time.

We have supplied below our forms
for you to print and complete.

Please bring these forms with you to the clinic.

Patient Information

Patient Consent for Treatment,
Payment, and Healthcare Operations

Acknowledge of Receipt of Privacy Notice

Notice of Privacy Practices

Financial Policy Agreement


Medical records release form and process
Please fill form out to its entirety
Legally we have up to 14 days to process records
Please mail, fax or drop the form by the office

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©Copyright 2008 - 2013, Dr. Rany Cherian,
Texas Medical Clinic, Bryan, Texas
All Rights Reserved