Patient Resources and 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.
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
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 office.
Steps to Refer a Patient:
- Step 1: Download and complete the referral form (PDF).
- You can also complete the form online
- 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).