Mon to Thu 9am to 5pm · Fri 9am to 4pm · 150 Pine Forest Dr, Ste 804, Shenandoah, TX Open Monday to Friday Call or text (936) 270-8011
HPA PsychiatryHeartland Physicians Associates Request an Appointment
New patients

Complete your intake before your first visit.

Fill out both forms on your phone or computer, save them as a PDF or print them, and bring them to your appointment. It takes about 25 minutes and saves you time at the front desk.

1

Fill it out online

Everything stays on your device. Nothing you type is sent to us or stored on this website. Your answers are kept in your browser only until you close it, so finish each form in one sitting.

2

Save or print

Use the Print or save as PDF button at the bottom of each form. On a phone, choose Save to Files or Save as PDF from the print screen.

3

Bring it to your visit, or fax it

Bring the printed or saved forms to your first appointment, or fax them ahead to (936) 270-8012. Please don't email completed forms, since regular email isn't a secure way to send health information.

What to bring to your first visit

  • Your completed forms (or arrive 15 minutes early to fill them out)
  • Insurance card and a Texas ID or driver's license
  • A list of current medications and allergies
  • Recent lab results if you have them (CBC, CMP, TSH, T4, liver function, lipid panel)
  • For a child or teen, a parent or legal guardian

Prefer paper?

Download the printable packet and fill it out by hand, or pick one up at the front desk.

New Patient Paperwork (PDF)

Questions? Call or text (936) 270-8011.

If you or someone you love is in crisis, call or text 988 any time, or go to the nearest emergency room. These forms are not monitored and are not a way to reach us.
Call Request an Appointment