Patient Information

Please complete the Medical History Form, the Registration form, and the Limits of Confidentiality Form prior to your appointment. Doing so will help The Memory Clinic of Texas, PLLC, serve you by maximizing our attempt to insure your assessment and feedback are completed the same day. Under HIPPA rules a consent for release of information is not needed for your referring physician who automatically receives a copy of your completed assessment. However, if there are other care providers or family members you would like your assessment released to, please complete the Consent for Release of Information Form.