Patient Registration

You may pre-register with our office by filling out our secure online Patient Registration Form. After you have completed the forms, please make sure to press the Submit button at the bottom to automatically send us your information. On your first visit to our office, we will have your completed form available for your signature. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Houston Office:

Clear Lake Office:

Baytown Office:

Other Forms

Please read the provided notice of privacy practice as well as the treatment consent form. Forms requiring signature will be signed electronically in the office. The information you submit on this website is secure and HIPPA compliant. You may request a copy of these forms for your record at your appointment.