Patient Forms

Hospital Affiliation

Conroe Regional Medical Center

Brought to you by:
H2U

Hours of Operation

  • Monday
  • 8:00 a.m. – 5:00 p.m.
  •  
  • Tuesday, Wednesday, Thursday
  • 11:00 a.m. – 7:00 p.m.
  •  
  • Friday & Saturday
  • 9:00 a.m. – 1:00 p.m.

Patient Forms

If you are a new patient, please fill out the forms below and bring them with you when you come for your appointment.

Patient Registration Forms

Patient Registration Form

Forma de Registro para Pacientes

Patient Consent Form

Formulario de Consentimiento del Paciente

Patient Authorization Form

Privacy Practices

Notice of Privacy Practices

Aviso Sobre Las Practicas De Privacidad