Book an Appointment

Select a date and time directly through our integrated Tebra Scheduling App below, or submit an intake request form for personalized assistance.

* Need assistance with the scheduler? Call us directly at (832) 295-3233. 24-Hour cancellation notice requested.

Patient Intake Request Form

Servicing patients ages 8+ throughout Texas

Patient Full Name *

Date of Birth *

Phone Number *

Email Address *

Preferred Visit Format *

Insurance or Payment Method *

Primary Reason for Visit *

Preferred Day / Time Slot

Additional Information or Prior Treatment Notes (Optional)

Age Eligibility Confirmation: I confirm that the patient being scheduled is 8 years of age or older (Required by clinic policy).

Cancellation Policy: I understand that appointments must be rescheduled or cancelled at least 24 hours in advance.