EAST TEXAS EYE CENTER, P.A.

Please print and complete these forms and bring to your appointment.

Please bring your insurance card along with a valid ID.

Medical History Form

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Contact Us:
Phone: 281-812-4000
Fax: 281-812-3331
18700 W. Lake Houston Pkwy., Suite B101
Humble, TX 77346
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Hours:
Mon, Wed, Sat 8:00 am - 5:00 pm
Tue, Thu 8:00 am - 8:00 pm
Fri 8:30 am - 5:00 pm

We are open 6 days a week.

plus Tuesday and Thursday evenings and Saturdays.