Welcome to Texas Gulf Coast Medical Group!
Save yourself time in the waiting room by filling out your forms at home. Print them out and bring them in.
Adult Patient Forms:
- Patient Information
- Authorization for Service
- Medical and Personal History
- Authorization to Leave Message
- Notice of Privacy Practices
Pediatric Patient Forms:
- Patient Information
- New Patient (Age 4 and younger)
- New Patient (Age 5 to 12)
Medical Records and Immtrac Forms:
- Authorization for Release of Medical Records FROM Texas Gulf Coast Medical Group
- Authorization for Release of Medical Records TO Texas Gulf Coast Medical Group
- Immtrac - Texas Immunization Registry
All forms are in .pdf format. You will need the Adobe Acrobat Reader to view and print them.
