Baytown : (281) 425-3800
La Porte : (281) 470-2100
Patient Portal

Appointment Checklist

Patients Registration Form

First Appointment

Please arrive at least 30 minutes prior to your first appointment. The following should be brought with you to your first appointment:

  • Completed New Patient Forms ​​
  • Patient Registration Form
  • Health History Form
  • Applicable insurance co-pay, deductible, or payment in full if you are not covered by insurance. Payment depends upon your insurance type and plan. Payments are collected when you check-in.
  • Valid photo ID
  • Medicines that you are currently taking. [Please bring your medication in their actual bottles so your medical care provider can determine exactly what medications and dosages you are on.
  • Medical Records: If you are referred from other physicians or treated by other physicians please complete an authorization form.
Health Insurance

Subsequent Appointments

Please arrive at least 30 minutes prior to your subsequent appointments. The following should be brought with you to your first appointment:

  • Current insurance card(s)
  • Valid photo ID
  • Health History Form
  • Current medication list, which includes the following information: (name of medicine, number of times a day you take the medication, how many mg, etc.) OR bring all your medication bottles including over the counter medications and supplements, such as aspirin, vitamins, etc.
  • Applicable insurance co-pay, deductible or payment in full if you are not covered by insurance. Payment depends upon your insurance type and plan. Payments are collected when you check in.
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