Specialties of Our Practice
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Patient Info
New Patient Forms
Use the following links to download forms that may be necessary for your appointment. Please call if you need clarification about which forms are needed. For the ones you need to fill out, please print a copy and complete the form. Please bring all completed forms to your appointment.
What to Bring to Your Appointment
- Your insurance card
- Physician referral forms, if required by insurance
- List of prescriptions and/or over-the-counter medication, including dose and frequency
- Information about your medical and surgical history
- Recent x-rays or relevant records
Hospital Affiliations
- Cypress Fairbanks Medical Center
- Conroe Regional Medical Center
- Memorial Hermann in The Woodlands
- St Luke's The Woodlands Hospital
- St Luke's Lakeside Hospital
- St. Luke's Vintage Hospital
- Tomball Regional Hospital
Insurance and Payment Information
Tharian Urology is a provider for Medicare and most major insurance plans, and provides insurance billing. You are responsible for co-payments or charges that are not covered by your insurance. If you have questions regarding billing or which insurance plans we accept, please contact us. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.
Privacy Practices
Our Notice of Privacy Practices describes how medical information about you may be used and disclosed and how you can get access to this information. It is given to all new patients and a copy is available upon request. |
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Call Today 936-647-2184
Locations:
129 Vision Park Blvd , Suite 301
Shenandoah, TX 77384
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500 Medical Center Blvd, Ste 330
Conroe, TX 77304
Fax (936) 647-2201
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