New Patient Forms:
- New Patient Packet (To enroll as a new patient)
- Physician Referral Form (For a physician to refer a patient to Lone Star Infusion)
- Release of Information (To authorize a medical provider to release information to Lone Star Infusion)
- Notice of Privacy Practices
To Submit:
- Mail: Lone Star Infusion, PLLC - 14740 Barryknoll Ln #140, Houston, TX 77079
- Fax: 281-719-9393
- Email: mail@lonestarinfusion.com. To submit the paperwork by email, please request a secure email from us which will allow you to email the completed forms as a secure attachment.
