To contact your healthcare provider after hours, or when the clinic is closed, please call (713) 773-0803.

    Call Us: (713) 773-0803

REGISTRATION FORMS

To help with the registration process, you may download the Patient Registration Form and fill it out prior to your visit. To see if you qualify for discounted health care based on our sliding fee scale, please fill out this Eligibility Form.

Please bring with you to your initial appointment:

  • arrow One form of ID with current address (Driver’s License, Passport, Green Card, etc)

  • arrow Insurance card if applicable

  • arrow Any medications you take including vitamins

  • arrow Immunization record if applicable

  • arrow For Pediatric patients, if you are not the parent, please bring proof of legal guardianship

For behavioral health visits, please fill out the Behavioral Health Assessment in English or Spanish to speed the intake process.

about

We Embrace Linguistic Diversity

We provide support in many languages. Let us know if you require an interpreter.

Get Started

For more information about our services or to speak with a representative from our Houston Community Clinic, please feel free to contact us or give us a call today.