New Patient Application

​

Thank you for your interest in our services. 

In order to streamline your first appointment, we ask that you click below to fill in a New Patient Application prior to your visit. 

If you are a Medicare patient, then please contact us by telephone at 281-585-3500 for special instructions before proceeding. 

Thank you. 

        - Dr. Smuts 

Offline Forms

​

If you would rather complete the forms offline, then please click the button below: