Download this form, fill it in and send it by mail to:
TOPS Surgical Specialty Hospital
Attention: HIM Department
17080 Red Oak Drive
Houston, Texas 77090
Download this form, fill it in and fax it to the number above.
Download this form, fill it in, scan it as an image (.pdf, .jpg) and attach it to an email to TSSH_HIM@uspi.com.