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To register with us, all you need to do is bring your new patient application. You can either print it out of this website or we can mail it to you. In addition to this, you'll also need your health insurance identification card and a valid driver’s license.

 

If you're being referred by a physician, you'll need all medical records pertaining to the reason you’re being referred. Forms from your referring physician may be needed, if required by your insurance carrier.

Fill in the new patient application form today!

Learn more about new patient application

Contact Dr. Jamie Waldrep today at

409-883-7900

Provide patient information to Dr. Jamie Waldrep MD FAAP

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