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:
The form above refers to the below notice:
If you prefer a downloadable pdf version of this form, please go to the Forms page
827 S Magnolia Blvd Suite 6
Magnolia, TX 77355
Paul Dibble MD
Pamela Johnson MD
September marks our 8 year anniversary!!
Thank you all for your support. We look forward to continuing to serve our patients and community.