New Patients

NEW PATIENT INFO

Before your first visit to our Spring or Huntsville office, we ask that you fill out our new patient forms. 

Our goal is to treat each patient attentively, and providing us this information will assist us in your treatment. By filling out these forms before your appointment, our staff and Dr. Jafri are able to better assess your medical concerns and answer any questions you may have.

NEW PATIENT FORMS

Click to download the new patient form Files.

Patient Information
ImmTrac Texas Immunization Registry
HIPAA Consent Form

NEW PATIENT RESOURCES

Click to download the new patient resources Files.

Healthcare Questionnaire
Anxiety Scale
Adult ADHD Scale

MAIN STREET ACCEPTS ALL MAJOR INSURANCE AS WELL AS MEDICARE AND SELF-PAY PATIENTS.

Please contact us to verify that Main Street Medical Clinic is an eligible provider for your plan. 

Aetna

Cigna

Humana 

Tricare

US Family

Blue Cross Blue Shield

Community Healthchoice

Medicare

United Healthcare

And many more

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