Refer a Patient

Physician Services

Requests for physician services may be sent to us via one of two ways:

• Send information via our online online Consultation Request Form.
• Download our Consultation Request Form and return the completed form to us via fax (713-383-1410).

Audiology Services

Requests for audiology services may be sent to us via one of two ways:

• Send information via our online Consultation Request Form.
• Download our Audiology Consultation Request Form and return it to us via fax (713-383-1410)