Barry F. Gritz, MD

Barry F. Gritz, MDBarry F. Gritz, MDBarry F. Gritz, MD

Barry F. Gritz, MD

Barry F. Gritz, MDBarry F. Gritz, MDBarry F. Gritz, MD
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New Patient Forms

 Once you have called the office and scheduled a New Patient appointment, you can print the New Patient forms below, complete and email to drgritz@drgritz.com or bring with you to your appointment. 

 If you have any questions regarding the New Patient forms please call the office at 713-869-7400. 

Acknowledgement 11-15-2026 (pdf)Download
Additional Information Needed - 11-15-2026 (pdf)Download
CONFIDENTIAL HISTORY - 11-15-2026 (pdf)Download
Medicare Medicaid Opt Out - 11-15-2026 (pdf)Download
Office Cancellation Policy - 11-15-2026 (pdf)Download
Patient Agreement pg1- 11-15-26 (pdf)Download
Patient Agreement pg 2 - 11-15-2026 (pdf)Download
Patient's Notice - 11-15-2026 (pdf)Download
Primary Insurance - 11-15-2026 (pdf)Download
Provider Acknowledgement - 11-15-2026 (pdf)Download
Release of Information - 11-15-2026 (pdf)Download

Copyright © 2026 Barry F. Gritz, MD - All Rights Reserved.

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