Board certified adult neurologyMemorial City, Houston
Office hours 10 am to 4 pmCall 713-960-9700
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Registration packet

Save time by filling out your registration forms at home.

Download the registration packet (PDF)

The packet has 14 pages: demographic information, records release authorization, privacy notice receipt, and your patient history. You can type into it on a computer, or print it and fill it out by hand.

Fill out the forms as far as you can at home and bring them with you to your appointment. Call 713-960-9700 if you have any difficulty downloading and printing the packet, and we will arrange for you to fill it out at the office.

Please don’t arrive early to do paperworkIf you need to fill out the forms at our office, let us know ahead of time.

Also review

Having stroke symptoms? Sudden face drooping, arm weakness, or slurred speech is an emergency. Call 911 right away. Do not call the office or wait for an appointment.