Referrals

This web page is meant for patient referrals from medical and legal professionals. If you are a patient, please use our Contact Us page to send us a message.

Thank you for considering a referral to our practice. We take the trust our partners place in us seriously. Collaborative care leads to the better outcomes for patients. We will work with you to ensure continuity of care and collective results.

We will respond to every referral sent within 1 business day and contact the patient for appointment scheduling. Once your patient is scheduled we will notify you. If there is any issue with scheduling the patient we will also notify you. Once the patient is seen we will provide you with their visit notes, as appropriate.

We provide multiple options for you to send us a referral:

• Fax / Email:  Download and complete our referral form and securely email it to [email protected] or fax it to (713) 277-7872.  If your office has its own form used for referrals, you can send us that instead.
• Phone: Call our direct new patient coordinator line at 713-623-1650.
• Online Form:  Complete the online form below, it will be securely delivered to our new patient coordinator.  We will call to verify and confirm all online referral form submissions using the phone number provided.Please ensure you have appropriate consent for any protected health information you send to us.  If in doubt, please omit this and we will coordinate appropriate authorization and release for medical records, as needed.  You can use our standard medical records release form if needed.  If you have any questions please email us at [email protected] or call us at 713-622-1700 and select the New Patient option.

Please ensure you have appropriate consent for any protected health information you send to us.  If in doubt, please omit this and we will coordinate appropriate authorization and release for medical records, as needed.  You can use our standard medical records release form if needed.  If you have any questions please email us at [email protected] or call us at 713-623-1650.