The Gill Center for Plastic Surgery & Dermatology
121 Vision Park Blvd, Suite 100
Shenandoah, TX 77384
Phone: (281) 853-5308
M-Th 8 a.m.–5 p.m.
F 8 a.m.–2 p.m.
Patient Forms
Our staff looks forward to meeting you and discussing your goals. We strive to keep our appointments on time as scheduled. Prior to your appointment, we encourage you to fill out the patient forms that are located on this website so you can accelerate your check-in process. Please download, print, and complete the forms and bring them with you to your appointment. If you are unable to download our patient forms, then it is recommended that you arrive at your appointment 15 – 30 minutes early so you can have ample time to fill out the appropriate forms.
- Patient Information
- Medical Record Release
- Patient Registration
- Consent for Minors
- Notice of Privacy
- Financial Agreement
- HIPAA
- Photo Consent Form