 We have downloadable forms that you can print, fill out and bring with you to the office to save on time for your appointments.
We have versions of the forms available in Vietnamese and Spanish as well. Click on the links to download to your computer. We also have Spanish and Vietnamese translators on staff that can assist with our patients.
New Patient Form:
English
En Español
Vietnamese
Follow Up Patient Form:
English
En Español
Vietnamese
Well Women Exam Questionnaire:
English
En Español
Vietnamese
Notice of Privacy Practices Form:
English
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 We accept most types of insurance including:
Aetna
Ameriplan
Blue Advantage HMO
Blue Choice PPO
Blue Cross Blue Shield Texas
Blue Medicare Advantage PPO
Cigna
Coventry Health Care
Evolutions
First Health
Galaxy Health Network
Health Smart
Medicare/Medicaid
Multiplan
Stratose
Tricare
United Healthcare
Car Accident/LOP
Worker’s Compensation
Cash Patients
Credit/Debit Card Payments
Discover, Visa and Mastercard
Please call us at: 713-941-1566 if you have any questions or don't see your insurance listed. We are updating this list all of the time.
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