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Catherine Giles, Independent Insurance Agent
Health Information Sheet and Health Forms
     Healthcare forms are very important documents. For your convenience, a Health Information sheet, which contains such information as your physician, medications, emergency contacts, etc., is available below. Catherine recommends if you decide to complete a health information form that you consider signing three copies of the same form, keeping one in your wallet, giving one copy to your primary care physician, and giving one copy to a trusted person. To address any questions or concerns you may have regarding document language and any information and wishes expressed therein, please consult a licensed attorney.

     Click on the icon below to create your own Health Information sheet in PDF. If you don't have Adobe Acrobat software, you may download at www.get.adobe.com/reader/.  

     Healthcare and legal forms are very important documents. As such, Catherine recommends if you decide to make healthcare decisions in writing, to consider signing three copies of the same form in front of a Notary and having your signatures notarized. She also recommends if you do so, to consider keeping one copy in a safe place, giving one copy to your primary care physician, and giving one copy to a trusted person.  To address any questions or concerns you may have regarding document language and the powers granted in them, please consult a licensed attorney.

     Click on the icons below to create your own Medical Power of Attorney, Durable Power of Attorney, HIPAA Authorization to Release Protected Health Information, and Advanced Directive Healthcare forms in PDF.  Also, click on the icon below to complete your Health Insurance Marketplace Hardship Exemption form.  If you don't have Adobe Acrobat software, you may download at www.getadobe.com/reader.  

     If you would like to research the license and complaints status of a Texas physician, the following site is a free database:  http://www.tmb.state.tx.us/page/look-up-a-license