Patient Forms

Patient Forms

We are happy to provide our office forms for convenient download on your home computer. Please print and complete the forms below, and bring them with you to your child's appointment. Questions about which forms you need? Please call our office and our courteous staff will assist you in preparing for your child's visit.

The four forms below are required to be completed annually.  Once completed, please send to our office via email at [email protected] or by fax 281-485-9469.

Medical Release Form

18 + Demographic Form:

Office Policies:

Assessment Forms:

Other Forms:

Scholarship Application for High School Seniors:

Dr. Gant Scholarship Application 2024


In order to view or print these forms you will need Adobe Acrobat Reader installed.
Click here to download it.

Our Location

Office Hours

Monday:

8:10 am-5:00 pm

Tuesday:

8:10 am-5:00 pm

Wednesday:

8:10 am-5:00 pm

Thursday:

8:10 am-5:00 pm

Friday:

8:10 am-5:00 pm

Saturday:

Beginning at 9:00 AM (Acute Illness Only By Appointment)

Sunday:

Closed