Appointment Imaging

You Would Like To Make An Appointment With:

To request an appointment using our website, please complete the form below. After you submit this information, a representative will contact you by phone within two business days. If you have an emergency, dial 911.

Patient Information

First Name

Last Name

Address Line 1

City

State

Zip Code

Phone No

Date of Birth

Preferred Contact Time (EST)

Appointment Information

Existing Patient

Yes No

Existing ID Document

Diagnosis Type

Upload Your ID

Upload Insurance Document

Walk-ins Welcome 24/7

No appointment is needed for emergency care. If you have a medical emergency, dial 911 or come straight to our ER.

Open 24/7

365 days a year

15149 Wallisville Rd

Houston, TX 77049

Response time

We call you back within two business days.