281.587.1700

IKP FAMILY MEDICINE’S PATIENT RESOURCES

Forms To Assist With Your Visit

Please select a form below for viewing and printing.

All selected PDF files will appear in a new window.

IKP Family Medicine Financial Policy & Patient Consent Form

> English

> Español

IKP Community Resource Guide

> English

Release for Treatment of a “MINOR” without a Parent

> English

> Español

IKP Family Medicine HIPAA Disclosure Form

> English

> Español

Medical Records Request Form

> English

> Español

Patient Registration Information

> English

> Español

Medication Information Release Form

> English

> Spanish

UIL Pre-participation Sports Physical Form

> English

Immunization Registry Adult Consent Form

> English

> Español

Credit Card Authorization Form

> English

> Español

IKP Family Medicine – Policies

> English

> Español

Immunization Registry Minor Consent Form

> English

> Español

Patient Portal

Join IKP's Portal
Learn More Today

JOIN

Portal Login

Click and Login to
IKP's Patient Portal

LOGIN

Pay Online

Pay Online Today!
Easy & Efficient

PAY NOW

Two Locations

Two Locations to
Serve You Better

CONTACT