Your first visit to our office is designed to get you better acquainted with Dr. Ken Hollis and our caring staff as well as all we have to offer. We encourage questions and do our best to always deliver high quality care.
We understand that your time is a precious commodity, so we ask all of our patients to please complete the required patient forms prior to your scheduled appointment. This helps to ensure that our office team has the opportunity to assist you in a timely manner.
We thank you for your confidence and look forward to meeting with you soon to fulfill all of your Bariatric and General Surgery needs.
Please download and complete the forms specific to the type of surgery we will be performing for you and bring these completed forms to our office on the day of your scheduled appointment.
Bariatric Surgery Patient Forms:
Bariatric New Patient Information Form (Print and Complete - Bring with You)
Financial Responsibility Form (Print and Complete - Bring with You)
HIPAA (Patient Privacy) Consent Form (Print and Complete - Bring with You)
Diet & Exercise: Weight Loss Journal (Print and Complete - Bring with You)
** Memorial Hermann Surgery Center - Bill of Rights
** (If your surgery is scheduled at the Memorial Hermann Surgery Center, please Initial & Date the above 'Bill of Rights' form and Bring with You)
General Surgery Patient Forms:
General Surgery New Patient Information Form (Print and Complete - Bring with You)
Financial Responsibility Form (Print and Complete - Bring with You)
HIPAA (Patient Privacy) Consent Form (Print and Complete - Bring with You)
** Memorial Hermann Surgery Center - Bill of Rights
** (If your surgery is scheduled at the Memorial Hermann Surgery Center, please Initial & Date the above 'Bill of Rights' form and Bring with You)
This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.