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Home
Our Services
Our Locations
Patient Forms
About Us
Contact Us!

Patient Forms

New Patient Forms

declaration-onlineform (pdf)

insurance-authorization-onlineform (pdf)

insurance-information-onlineform (pdf)

patient-demographics-onlineform (pdf)

notice-of-privacy-practices (pdf)

Other Patient Forms

hormone-replacement (pdf)

weight-loss (pdf)

March-2019-Dr.-Moazam (pdf)

Insurances Accepted (png)

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(+1) 915-852-3225

14470 Horizon Blvd., Suite J Horizon City, TX 79928

admin@healthyhorizonsclinics.com

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