Patient Resources and Forms

To view the forms listed below, you will need Adobe Reader. You may download Adobe Reader for free at Please bring your completed forms with you to our office at the time of your visit.

Local Hotel Partnership

We offer our out of town patients a negotiated rate on local hotel rooms at the following locations:

TownePlace Suites Houston Galleria

Candlewood Suites

Online Resources

Follow us on Facebook and Twitter for news and information about vascular disease, uterine fibroids, UFE, and other health topics.

For Referring Physicians

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).

Patient Referral Form

A message regarding COIVD-19

We are keeping a close eye on COVID-19 developments in the greater Houston area, and encourage you to do the same.

To ensure that our patients are able to receive the care they need, Texas Endovascular/Houston Fibroids will remain open and accessible. Because we are not a primary care or hospital environment where sick patients would go for testing or treatment for COVID-19, we feel that the risk of exposure in our office is low. To supplement our rigorous standard precautions for health and safety, please refer to the following guidelines:

Please refer to the guidelines set by the World Health Organization (WHO) and the Centers for Disease Control and Prevention (CDC) for the most current information. The CDC reminds us to follow best practices, including washing hands often with soap and water, not touching our eyes, nose, or mouth with unwashed hands, avoiding contact with people who are sick, and limiting personal contact, including shaking hands. Learn more about the CDC recommendations here.

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