Online Forms


 

Kilgore Integrated Health offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form - Required 

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form

 

Member Wellness Registration Form - Optional 

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it into our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form

Location
Kilgore Integrated Health
2019B S Henderson Blvd, Suite B
Kilgore, TX 75662
Phone: 903-202-0190
Fax: 903-984-5547
Office Hours

Get in touch

903-202-0190