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Patient Forms

There are a few forms that all new patients must complete prior to their first office visit.  In order to save time, you can complete these forms at home and bring them with you to your next visit.

For Surgical Appointments with Dr. Kubala, Dr. Angel or Dr. Silva, please download the neurosurgery forms:
    Neurosurgery Forms (includes the following)

    • Patient Information Sheet
    • Patient Medical History Form
    • New Patient Packet Letter
    • HIPAA Medical Information Release Form
    • Narcotic Pain Policy

Our Expertise

Over 50 yrs of committed care to the Golden Triangle
75 yrs combined neurosurgery experience
24 hr/7 day coverage for all neurosurgical needs
Surgical and non surgical options available
Conservative treatments offered prior to surgery
Minimal invasive surgery options
Complete spine and brain care
Our Services

Minimally Invasive Treatment
Herniated Disc
Spinal Stenosis
Spinal Reconstruction
Osteoporotic Fractures
Brain and Spinal Tumors
Peripheral Nerve Surgery
Traumatic Spinal Fractures
Patient Forms

Neurosurgery Forms
Please contact our office to receive forms for your visit.
Golden Triangle Neurocare, LLP • 2965 Harrison Street, Suite 111 • Beaumont, Texas 77702 • Phone: (409) 898-7800 • Fax: (409) 898-3295