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Please complete the form below, and allow up to two business days for your request to be processed.
If you would like to schedule an appointment sooner, please call your doctor’s office.
Once we receive your request, we will schedule your appointment and send you an email confirmation.
We may contact you if we have questions about your request.
Please be aware that submitting this form does not guarantee your appointment is scheduled.
To protect your privacy, all of our online forms are encrypted and stored in a secure location. However,
while our forms are secure, communication via email may not be. If you prefer not to receive communications
via email, please contact us at 713.790.3333 for assistance with scheduling an appointment.
Our team is available from 7 a.m. to 6:30 p.m., Monday through Friday.