WOMEN'S OB GYN

To expedite the registration process with our office please fill out the following registration information and bring it with you to your appointment. You may also be required to complete additional information upon registering.

• • Patient Demographic Information
  • Notice of Privacy Practices
  • Insurance and Payment Policy

Additional Details

You will be asked to bring in a copy of your photo identification and insurance cards for verification.  If you would like to fax this information in ahead of time to expedite your visit, please do so! 

FAX 713-658-9414

Please remember some insurances will require a co-pay at the time of the visit, while others will require balance billing in order for complete reimbursement of all services rendered.

Need More Information?

Please feel free to contact our office during regular office hours with any and all health related questions.  One of our helpful and trained staff members would be happy to assist you!

713-658-0358