Stacy A. Bacon, MD - Orthopaedic Surgeon
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For Appointments Call: 281-955-7577

Patient Forms

We are pleased to offer you the convenience of completing and securely submitting your paperwork online. Some of this is additional information requested by are required by the American Recovery and Reinvestment Act. If not completed online you will need to complete them before the doctor can see you.

Additionally please print forms and eliminate some of the paperwork you would normally fill out in the office before seeing the doctor. If you forget to complete online forms or bring the forms with you, you will have to fill them out in the office before the doctor can see you.

Online Forms

Printable Forms

Patient Intake Form

Medical Intake Form

Office Policy

HIPAA Privacy Practice


Record Release Forms

For the convenience of our current and former patients, we provide the ability to download forms you can use to request your Advanced Orthopaedics medical records and x-rays.

Simply click on Download PDF next to the form(s) you need, print and complete the form(s), and mail or fax your request to the appropriate office. Our office addresses and fax numbers are printed on the forms.

Advanced  Orthopaedics & Sports Medicine Medical Intake FormMedical Records Release


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Stacy A. Bacon, MD - Orthopaedic Surgeon Advanced Orthopaedics Sports Medicine