Philip L. Leggett, MD
Houstonlaparoscopic surgery

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New Patients

In order to serve you better and faster we have provided our New Patient Information Form online.

There are a number of forms which must be filled out before your first visit, or if any of the information has changed since your last visit to Dr. Leggett's office

Instructions:

Click on the link below to access the New Patient Form. After you click the link, a browser window will open. After it opens, click on the 'PRINT' icon on your Browser. After the form prints, fill it out and bring them into our office. You can also fax it to our office at 281-580-6693. Completing the New Patient Information Form will save you time on your initial visit!

Key Forms

Download
General Surgery - New Patient Registration Form*
Complete highlighted fields only on Release of Medical Information / page one of packet.
Bariatric - New Patient Registration Form*
Complete highlighted fields only on Release of Medical Information / page one of packet.
Notice of Privacy Practices*

*You must have an Acrobat Reader to view the Acrobat files. If you don't already have Adobe Acrobat, you can download the Acrobat Reader Free.

*You must have an Acrobat Reader to view the Acrobat files. If you don't already have Adobe Acrobat, you can download the Acrobat Reader Free.