Track It for Life and Stay Healthy for Life

Step 1: Sign Up

Fill Out Forms

Please follow the instructions below to sign up with our patient portal. This is important to get online Appointment. The Sign Up link is below the instruction.

Sign Up Instructions

Click image to read the document.
Sign Up Instructions

Step 2: New Patient Registration Form

For an expedited check in process, send us the New Patient Forms before you come.
Please fill out all three forms and use one of the way below to submit

Online form submission (preferred)

  • Save on your computer
  • Fill out the fillable PDF form
  • Upload to our secured link

Form submission by fax

Fill out the fillable New Patient Forms and fax to us at 713.995.6142

Manual form submission

Print, fill the form and bring registration info at the time of your appointment

Insurance Verification

Click image to read the document.
Insurance Verification

Patient Information

Click image to read the document.
Patient Information

Health History Questionaire

Click image to read the document.
Health History Questionaire