Patient Registration

In order to help you when you visit our office for the first time, we have created two options for completing our registration forms.

Option One: (Online)

Please complete all the following forms:
Patient Registration (includes Patient Registration, Medical History & Office and Financial Policies).

Then you may either call (281.363.5050) or go to the "Make Appointment" link to
request an appointment..

If needed please complete the
Treatment to Minors form.

Option Two: (Print)

If you prefer you may download, print and fill out the Registration.pdf document below.  Then when you visit us for your appointment,
bring this information with you.

Adobe%20Acrobat%20Icon  Registration.pdf(2.3 MB)

 

Designed and Developed by Daniel Lemire