You can print forms from this site and not have to worry about filling these forms out the day of the visit.


Printable Forms: You can print your
own
forms and save time.

 New Patient Information

Prescription for Therapy

  Consent Form

 Privacy Policy


Appointments and Forms

Appointments may be made by email, by fax, or by phone.

The following information is needed to schedule an appointment:

  • The patient’s name, birthdate, referring physician with phone number, and the patient’s contact information. Also include a list of current symptoms and a diagnosis, if known. Include a preferred date and time for your appointment. 

Email:  Send the above information to Email Us
 
Phone:
Call our Main Number (713) 392-1303 and leave the above information.  If your call cannot be answered immediately, someone will return your call within 24 hours.
 
Fax:
Send the above information and the doctor’s prescription to the confidential Fax number (281) 583-1559.

Printable Forms: You can print your own forms and save time.

                                  New Patient Information

                                  Prescription for Therapy

                                         Consent Form

                                         Privacy Policy


If these forms do not open, you may download Adobe Reader for free at adobe.com by clicking here.