Forms & Payment

Accepts new patients

Medicare Medicaid Workers' compensation Other
Yes NA Yes Yes

Medical insurance plans and payment options

Please call the office at 210-558-4600 for any questions regarding insurance coverage and payments. Below are NEW patient forms that can be printed and completed prior to your visit. The Notice of Privacy is available for your review and your records.

Office information from Mark A. Katz, MD

HIPAA Consent Form
HIPAA Consent & Acknowlegdement of Notice of Privacy

Notice of Privacy Practices
Notice of Privacy Practices for your review or print for your records

Release of Medical Records Form
Permission regarding release of records

Release of Records by Fax or email
Release of records by fax or email

Financial Responsiblity Form
Patient's financial responsibility

No Show Policy Form
No show policy for missed appointments

Patient information
Patient information

Patient Medical History Form
New Patient Medical History Form

Contact Information

San Antonio Hand to Shoulder Orthopaedic Center 9150 Huebner Road Suite 330 San Antonio, TX USA 78240 View map Phone 210-558-4600

San Antonio Hand to Shoulder Orthopaedic Center

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