Now accepting Telehealth appointments. Schedule a virtual visit.

Patient Forms

Patient Forms

Below you will find patient forms that are available for your use. Please print, fill out the forms, and bring them with you to your next visit.

Medical Release Form

TMHPO Patient-Provider Email Agreement

Consent to photograph/record/interview and Authorization for Use and Disclosure of Protected Health Information

Consent and Release for Photos

What we offer

Services

Our Locations

Choose your preferred location

6560 Fannin Street Suite 2200, Houston, TX 77030

713-280-3272

13300 Hargrave Road Suite 450, Houston, TX 77070

281-975-4914