Schedule Appointment – Texas Regional Clinic

Make an Appointment

Thank you for using our Online Scheduling Portal. Please allow 24 hours for your appointment request to be processed. Be sure to verify that all information is accurate. One of our friendly staff will notify you to confirm appointment time and date. Please note that all deductible, co-pay, and co-insurance amounts are required to be paid at the time of service. If you have any questions or require further explanation, please ask to see a manager upon appointment arrival.

We offer two easy ways to schedule your appointment: by phone or online. Please feel free to use whatever method is most convenient, however, any urgent requests should only be made by phone.

① Give Us a Call

schedule appointment texas regional clinic

Give us a call and we will help schedule your appointment. Have your doctor's orders and insurance information available to schedule your exam.

Phone: (713) 489-1741

Fax: (713) 984-8481

② Send a Request

- ❖ Please fill out the form below correctly (Fields marked with an * are required)
- Patient's Name*
- D0B*
  Date Format: MM slash DD slash YYYY
- Who's filling out this form?*
  - Patient
    / Self
  - Parent
    / Guardian
- ☎ Phone*
- 📧 Email*
- Procedures Requested*
- 🕑 Day / Time Preference*
- ❖ Attorney Info (We can't process your appointment request with any missing info)
  
  For Insurance verification, Please indicate Insurance name on Attorney Name field along with phone number.
- If you pay with cash or card, please check here.
- Attorney / Insurance Name*
- ✆ Phone
- Comments / Questions
- Upload Your Doctor's Order
- If you have your doctor's orders or prescription for a medical imaging exam, you can upload them here.
- I would prefer a virtual visit?
Name
This field is for validation purposes and should be left unchanged.