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Online Patient Registration Form

Please complete the information below and submit the form online.
This form contains confidential information and is delivered to your doctor through a secure Internet connection.


If you prefer, print out the form after full or partial completion. Bring it with you when you come to our office for your appointment.

Patient Information Packet

If you would like your records from your previous office, please complete this form and Email us or Fax 281-476-7062 the release form so we can get your records prior to your appointment.

Record Release Form


After completing the registration, please give us a call at
281-431-1000, to ensure we receive your information. Thank you, and we will see you at your scheduled appointment time.

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Our top priority has always and continues to be the health and safety of our patients and staff. We are extremely committed to providing you with the safest and most dependable eye care service possible, even during this challenging time.

For the Protection of our patients and staff extra safety measures are being taken including:

Thank you for your support and understanding during these unprecedented times.