7777 Southwest Fwy #420, Houston Tx. 77074 • 16651 Southwest Fwy, #400, Sugar Land, Tx 77479

(713) 776-9500 • (800) 833-4197

Individual forms: (or download all below) Task List (pdf) Questionnaire (pdf) Patient Information (pdf) Notice of Privacy (pdf) Acknowledgment (pdf) Payment Arrangement Policy (pdf) PAD_screening_questionaire (pdf) Medicare Claims (pdf) Signed Cancellation Policy (pdf) Authorization Release Form (pdf) -- Download ALL above forms here	Nuclear Cardiology Info: Nuclear Cardiology Lab Form (pdf)