Offering medical, including BioTE hormone replacement therapy, cosmetic, and laser services in the safety and privacy of a medical practice.  Call (409) 735 - 7305 to schedule an appointment.

Your First Visit

 

Complete New Patient Forms

Below you will find three forms all new patients must fill out and bring for their first appointment. New patients should arrive 20 minutes before their scheduled appointment. You may click on the online forms, fill them out, print and bring to your first appointment.

 

Online Forms

Health History Questionnaire

For adults (age 16+) with a new patient appointment

Patient Update and Privacy Form

HIPAA requires all patients to complete this form which describes how medical information about you may be used and disclosed and how you can access this information.

Financial Policy

Release to Obtain Medical Records

Register for our Patient Portal.

Convenient, safe and secure patient connectivity website allows you to communicate with your provider office anytime, day or night. Our goal is to be your first choice in patient healthcare, by providing convenience and accessibility to our practice. We are not only committed to offering the best possible medical care to our patients, but we strive to continue to meet your needs in ways that are convenient for you. This website – your patient portal- is one of the ways we can provide an improved patient experience.

Insurance/Billing Information

We will submit primary and one supplemental insurance claim for you subject to your having given us current insurance information prior to services being provided. This will be filed at no charge to you.

 

Copayments/deductibles/out of pocket must be paid at the time of service and we expect timely payment of any balance or non-covered services. Approximately 45 days after we submit your claim to your insurance company any unpaid charges will appear in the "patient's responsibility" space on your statement and payment must be received before the next billing date. The financial responsibility for service provided to you remains yours.

 

We request your current insurance card. If the insurance information is inaccurate the balance is the patient's responsibility. If you are unable to pay your charges when they come due, please contact our Patient Accounts Manager to discuss a payment plan.

 

Payment may be made by cash, check, ATM card, VISA, MasterCard or Discover Card. You may qualify for a payment arrangement and/or auto draft for payment of your balance. You may make your payment online. You can also sign up for e-statements if you prefer.

 

Appointments

Office visits are by appointment only to help us keep your waiting time to a minimum. It is our goal to follow our time schedule as closely as possible. However, if an emergency arises that would cause a delay, we will attempt to keep you informed of your doctor's schedule. If you need to cancel an appointment, please call as much ahead of time as possible, preferably at least 24 hours. That way your time can be given to another patient. There is a no show fee for missed appointments; a phone call can prevent this.

 

Questions? Contact us at (409)735-7305 or email us.

REGISTER

Log on to the Patient Portal


Request an appointment, Request a medication refill, Send a message to your provider's office, Receive medical information from your provider's office, all from one convenient place.

 

 

LOG ON

Payment Gateway

MAKE A PAYMENT

 

Golden Triangle Family Care Center

New Services

615 W. Roundbunch Rd.

Bridge City, Texas 77611

 

Tel: 409.735.7305

Fax: 409.735.5875

info@goldentrianglefamilycare.com

 

Office Hours

Monday - Friday: 8 am to 5 pm

Saturday: Closed

Sunday: Closed

 

 

CONTACT US

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