Skip to main content
  • Call Premier Urology of Kingwood at (281) 358-0171
  • Directions
  • Pay My Bill
  • Newsroom
×
Recent Searches
    Call Premier Urology of Kingwood at (281) 358-0171
    Make an Appointment
    Directions
    • Home
    • About Us

      About Us

      • Newsroom
    • Locations
    • Services
    • Our Providers
    • Patient Center

      Patient Center

      • Newsroom
      • Telehealth Visits
      • Patient Center
      • Patient Forms
      • Patient Education
      • Patient Rights & Responsibilities
      • Online Bill Pay
    • Contact Us
    • Directions
    • Pay My Bill
    • Newsroom
    • Call Premier Urology of Kingwood at (281) 358-0171
    • Directions
    • Pay My Bill
    • Newsroom
    ×
    Recent Searches
      Premier Urology of Kingwood
      ×
      Recent Searches Clear
        Search
        Premier Urology of Kingwood
        ×
        Recent Searches Clear
          Search
          Premier Urology of Kingwood
          ×
          Recent Searches
            Make an Appointment
            Alerts 1 Dismiss alerts

            • Our COVID-19 Response

              Get information on our enhanced safety protections.

              Resource Hub | Vaccine Information
              Enhanced Safety
            Call Premier Urology of Kingwood at (281) 358-0171
            Make an Appointment
            Directions
            • Home
            • About Us

              About Us

              • Newsroom
            • Locations
            • Services
            • Our Providers
            • Patient Center

              Patient Center

              • Newsroom
              • Telehealth Visits
              • Patient Center
              • Patient Forms
              • Patient Education
              • Patient Rights & Responsibilities
              • Online Bill Pay
            • Contact Us
            • Directions
            • Pay My Bill
            • Newsroom
            Alerts 1 Dismiss alerts

            • Our COVID-19 Response

              Get information on our enhanced safety protections.

              Resource Hub | Vaccine Information
              Enhanced Safety

            Patient Forms

            • Premier Urology of Kingwood /
            • Patient Center /
            • Patient Forms
            • Patient Center
            • Newsroom
            • Telehealth Visits
            • Patient Forms
            • Patient Education
            • Patient Rights & Responsibilities
            • Online Bill Pay

            Patient Registration Forms

            If you are a new patient, please fill out the registration forms listed below in advance of your appointment to assist the staff in making sure that we have all the information necessary to provide you with quality care and treatment. Please bring the completed forms with you to your appointment.

            Registration Forms

            • Patient Registration and Consent
            • Registro de Pacientes y Consentimiento para Tratar
            • Medical Records Release
            • Patient HIPAA Acknowledgement and Consent
            Premier Urology of Kingwood
            215 Kingwood Executive Drive , Suite 250
            Kingwood, TX 77339
            Phone: (281) 358-0171
            Fax: (281) 358-2194
            Affiliations
            Copyright 1999-2023 C-HCA, Inc.; All rights reserved.
            Notice of Privacy Practices | Terms & Conditions | California Notice at Collection | Privacy Policy
            Social Media Policy | Acceptable Use Policy | HCA Nondiscrimination Notice
            Surprise Billing Protections | Right to Receive Estimate | Accessibility | Disclosures
            Copyright 1999-2023 C-HCA, Inc.; All rights reserved.
            Notice of Privacy Practices | Terms & Conditions | California Notice at Collection | Privacy Policy
            Social Media Policy | Acceptable Use Policy | HCA Nondiscrimination Notice
            Surprise Billing Protections | Right to Receive Estimate | Accessibility | Disclosures