​Prior to your first appointment please print and fill out the forms below. You may bring the forms with you to your first appointment
or you can fax the completed forms to our office at 713-942-0542.

Medication REFILLS

Medication refills require 48 hours advance notice and will only be processed during our regular office hours. Office manager, Maritza Deras, will assist you with refills. After hours you may leave your request on our confidential voicemail by calling our main office number. Please have the following information ready: pharmacy number, medication name, dosage, route of administration, and frequency taken. Alternatively, you may also call your pharmacy and have them fax a refill request to our office, 713-942-0542.
​ Prior authorizations may be required by your health insurance plan for some medications. Please have your pharmacist contact us as soon as possible with any prior authorization requests.  Our office will start the prior authorization process within one business day. Be aware that it may take your insurance plan 2 to 3 business days to make a decision regarding coverage. If you need a medication filled prior to receiving authorization, you may pay for the cost of the medication directly without going through your insurance plan. However, if you choose to pay for a medication yourself, you will likely not be reimbursed by your insurance plan.


New patient consultations


American Board of psychiatry and neurology