Patient Resources for Texas Endovascular – Specialists in Vein and Fibroid Treatment
Access patient resources before your appointment with Texas Endovascular in Houston, Katy, Sugar Land, Bellaire and surrounding communities in Texas.
Download Patient Forms
To view the forms listed below, you will need Adobe Reader. You may download Adobe Reader for free at www.adobe.com. Please bring your completed forms with you to our office at the time of your visit.
- Ask 4 UFE
- Office on Women’s Health
At Texas Endovascular, we appreciate the relationships we create with the physicians we work with and who refer their patients to our clinics.
Please follow the steps below to refer a patient to our offices. If you have questions, feel free to contact us at 713-575-3686.
Steps to Refer a Patient:
- Step 1: Download and complete the referral form (PDF).
- Step 2: Fax the Referral Form along with a copy of the patient’s information and insurance information to us:
- Fax Number: 713-575-3688
- Step 3: Our team will verify the patient’s benefits and call to schedule an appointment (we recommend following up with your patient to ensure that an appointment has been scheduled).
In addition to accepting most insurance plans, Texas Endovascular also participates in other options to help cover the cost of your medical expensese. We accept CareCredit, a healthcare credit card to finance medical procedures. Visit www.carecredit.com to apply for a credit card online, use a payment calculator and more.
Insurance Plans Accepted
- AETNA Commercial: PPO / HMO / EPO / POS
- AETNA Medicare: Advantage / Premier Plan HMO / Value Plan HMO
- AETNA Whole Health-Commercial & AETNA Whole Health Marketplace (Exchange)
- Amerigroup Amerivantage Medicare
- Amerigroup Star & Star Plus
- BCBS Commercial: PPO / Blue Choice PPO / HMO Blue TX / Blue Advantage (Marketplace Plan)
- BCBS Medicare: Advantage PPO
- CIGNA Commercial: PPO / HMO / OPEN ACCESS / LOCAL PLUS
- Community Health Choice Marketplace Plan
- Community Health Choice Star Plus
- HealthSmart PPO / HealthSmart Accel PPO
- HUMANA: COMERCIAL PPO, HMO, POS, EPO
- HUMANA Medicare: Medicare PPO / Medicare Network PFFS / Advantage Gold Plus HMO
- IMS Independent Medical Systems
- MEDICAID Traditional
- (MHMD) Memorial Hermann Edge
- (MHMD) Memorial Hermann Health Solutions Choice / Select
- (MHMD) Memorial Hermann Medicare Advantage HMO/PPO
- MULTIPLAN PPO
- (PHCS) Private Healthcare Systems PPO
- Provider Select, Inc.
- Select Care / TEXAN PLUS
- Three Rivers Provider Network (TRPN)
- Traditional MEDICAID
- TRICARE South
- UNITED Healthcare COMMERCIAL PLANS
- WellCare HMO