Acknowledgement of Privacy Notice Form

The Acknowledgement of Receipt of Privacy Notice Form (Privacy Practices Form) is required for new patient registration.  It is a government-required form.  To complete this form, please click the link below:

 

https://cryptnsend.com/stfh/stfh.html

 

The form above refers to the below notice:

View our Notice of Privacy Practices

 

If you prefer a downloadable pdf version of this form, please go to the Forms page

Simple Traditions

Family Health PLLC

827 S Magnolia Blvd Suite 6

Magnolia, TX 77355

281-259-7400

Office of:

Paul Dibble MD

Pam Johnson MD

Alyson Van Tiem PA-C

 

Traffic in Magnolia can be surprisingly heavy, and there is construction on the major roads; plan plenty of time for travel when coming to our clinic. See  Driving Directions

We have moved!  Remember to come to our NEW clinic.

 

See driving directions

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We do not take insurance

We accept cash, check, credit/debit cards

See our Prices

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