New Patient Application
Thank you for your interest in our services.
In order to streamline your first appointment, we ask that you fill in a New Patient Application prior to your visit.
If you are a Medicare patient, then please contact us by telephone at 281-286-2229 for special instructions before proceeding.
- Dr. Vazquez
Please click your preferred option to get started.
AutoSave prevents accidental data loss, but requires a wait time each minute for saving data.
Also, AutoSave options store data locally, so this is not recommended for use on a public device.
If you would rather complete the forms offline, then please click the button below: