|
Patient On-Line Registration
Thank you for
visiting our website and registering on line. Completely
filing out this registration form will minimize your
waiting time during your next visit to our office.
Your
responses to all the information contained in this form
will allow our office to verify insurance benefits and
eligibility, determine your financial responsibility and
obtain any required prior authorization from your
insurance company prior to your scheduled visit.
While you are entering this
information on a secure site, there are parts of this
process that aren't secure. We will not use your
information for any other purposes
Click here for On-Line Registration
Patient Survey On-Line
Thank you for visiting our
website and completing the survey on line. Completely
filing out this survey will allow our office to better
serve you gynecological, urogynecology healthcare and
weight management needs. While you are entering this
information on a secure site, there are parts of this
process that aren't secure. We will not use your
information for any other purposes.
Click here for On-Line Survey
If you have
any questions please contact our
office at 281-893-1246 or 281-893-0099
|
