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Dr Eapen Patient Forms

New Patient Forms

For convenience you may print out the following forms and fill them out in advance before your visit.
All forms are in Adobe Acrobat (.PDF) format which you can get here.

Patient Frequently Asked Questions (FAQs)

What is an Internist?

An internist is a specialist in the care of adult, non-surgical medical problems. In general, an internist is a diagnostician, consultant, personal physician, and teacher.

What Is An Endocrinologist?

An endocrinologist is an internist who specializes in diseases which affect the hormone secreting glands. This includes the insulin secreting portion of the pancreas; thyroid, adrenal and pituitary glands as well as the glands which produce sex hormones. Due to our extensive experience in the management of diabetes mellitus, this office is able to provide a full range of services to the patient with diabetes.  This includes specialized care of the pregnant patient with diabetes or other endocrine problems and the use of insulin pumps and sensors for continuous glucose monitoring. We also provide free group and individual Diabetes Education classes.

What can I expect on my first visit?

Patients who have not been seen by Dr. Eapen before will be asked to fill out some patient information. This can be done ahead of the visit if you can print out the patient forms from our website and bring it to your initial visit. Also please bring in your lab results and all diagnostic imaging from your referring physician to save time. The first visit will be more lengthy than most regular visits but this is essential to ensure that you receive the best care possible.

If you were referred to this office, the information obtained, including laboratory studies and treatment recommendations, will be communicated to the referring physician.

How are payments handled?

Patients are expected to pay for services at the time of their visit. We accept cash, checks, VISA, MasterCard and American Express. Fees will vary according to the time required for the consultation and depending on your insurance.

How will my insurance claim be handled?

We accept most insurance plans. Please verify with your insurance company that we are in your network prior to your appointment. We bill your insurance company directly; however, you will be responsible for your co-pay at the time of your visit. You will be also be responsible for any deductible or remaining payment prior to services rendered. Our billing is handled by Carmen Vega and billing questions should be directed to their office at (832) 490-4579.

What about prescription refills?

Prescription refills are approved only during office hours as your chart must be available. For refills, call your pharmacy and they will contact us for authorization. Under Texas law, certain medications are refillable by the pharmacist only by direct communication with the prescribing physician. Occasionally, therefore, there may be a delay in their approval. Please allow for this when obtaining refills, preferably by calling your pharmacist at least 24 hours in advance of your need of the medicine.

If you have missed an appointment, a small amount of your medicine may be refilled to allow you to schedule a return appointment and still remain under treatment.

What if I have other questions?

Our professional staff is prepared to assist you with any questions that you may have. In those cases where Dr. Eapen needs to talk to you, calls are returned after patients are seen in the afternoon. If you leave a message on our voicemail with your name, date of birth, phone number and reason for calling, we will get back to you before the end of the day.

We are eager to provide quality medical care and welcome your comments and suggestions as to how we can best serve you.