Appointment 
                    and Cancellation Policy 
                   Our goal is to provide quality medical care 
                    in a timely manner. In order to do so we have had to implement 
                    an appointment/cancellation policy. The policy enables us 
                    to better utilize available appointments for our patients 
                    in need of medical care. 
                  Scheduled Appointments 
                    For a scheduled appointment please call 
                    Phone: 281-265-1160  
                  Cancellation of an Appointment 
                   In order to be respectful of the medical 
                    needs of our community please be courteous and call our office 
                    promptly if you are unable to attend an appointment. This 
                    time will be reallocated to someone who is in urgent need 
                    of treatment. This is how we can best serve the needs of our 
                    patients.  
                  If it is necessary to cancel your scheduled 
                    appointment we require that you call by 10 a.m. one (1) working 
                    day in advance. Appointments are in high demand, and your 
                    early cancellation will give another person the possibility 
                    to have access to timely medical care. 
                  How to Cancel Your Appointment
                   To cancel appointments please call 281-265-1160 
                    . If you do not reach the receptionist you may leave a detailed 
                    message on the voice mail. You may not cancel via email. 
                  Late Cancellations 
                    Late cancellations will be considered as a “no show”, 
                    unless the appointment was made within less than 24 hours. 
                  No Show Policy 
                    A “no show” is someone who misses an appointment 
                    without canceling it by 10 a.m. one (1) working day in advance. 
                    No-shows inconvenience those individuals who need access to 
                    medical care in a timely manner. 
                  A failure to present at the time of a scheduled 
                    appointment will be recorded in the patients’ chart 
                    as a “no show” and a fee of $30.00 will be billed 
                    to the patient. 
                  Walk-In Clinics
                   We realize that illnesses and accidents 
                    often occur unexpectedly. In an effort to provide the convenience 
                    of timely medical care we offer walk-in clinics. Walk-in clinics 
                    are for urgent and unpredictable medical care. You may experience 
                    some delay as we try to accommodate you to our schedule. 
                  Unless you have a booked appointment, all 
                    health care is provided on a first come, first served basis. 
                    All emergencies will be given priority. 
                  
                  New Patients 
                   As a new patient, we will ask that you fill 
                    out a brief questionnaire for our medical records. Your answers 
                    will enable us to give you a complete examination. 
                   Your Examination
                  Your examination takes place in a modern 
                    fully equipped medical setting. A highly trained medical staff 
                    member who will make you comfortable will escort you. They 
                    will conduct a brief interview about your past health and 
                    discuss with you your current discomfort. Dr. Yasmeen Jalal 
                    will review the information obtained by our medical staff, 
                    examine you, and after evaluation of the findings, he will 
                    then explain to you the best procedure to follow to minimize 
                    your discomfort. 
                  About Children
                  Children are excellent patients if parents 
                    help in preparing them for an office visit. The visit should 
                    be treated as a part of the routine in his or her young life. 
                    Every effort is made to avoid pain. Do not bring other children 
                    to the examination if at all possible. A parent of guardian 
                    must accompany children under the age of 18.  
                    
                  Calling Our Office
                   The receptionist or nurse will receive calls. 
                    They have been trained to answer most questions. If the doctor's 
                    opinion is required, you will be advised to expect a return 
                    call. Please remember that many diseases have similar symptoms; 
                    for this reason, most requests will require an office visit. 
                    Medication cannot be prescribed for a medical problem that 
                    has not been recently evaluated. For refills of medication, 
                    please have your pharmacy call the office only during regular 
                    office hours. Please always keep your pharmacy phone number 
                    handy. 
                  Phone: 281-265-1160 
                  
                  Forms
                  
                  Patient Registration 
                    Form (MS Word Document) 
                  
                  Patient Registration 
                    Form (Adobe Acrobat Document) 
                  
                  Image Document
                  Patient Registration 
                    Form (Page 1) 
                  Patient Registration 
                    Form (Page 2) 
                  Patient Registration 
                    Form (Page 3) 
                  Patient Registration 
                    Form (Page 4) 
                  Patient Registration 
                    Form (Page 5) 
                  Patient Registration 
                    Form (Page 6) 
                    
                    
                  
                  
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