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This form is not intended to be used in emergency situations. For urgent medical matters, dial 911 or contact your physician's office by phone.

To schedule an appointment, complete the form below or call our Contact Center at 713-442-0427. We will respond the same day to all appointment requests received by 4 p.m. on a business day. Requests made after 4 p.m. may not receive a response until the next business day. Kelsey-Seybold does not charge a fee to you or to our physicians for this service.

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Kelsey-Seybold respects the confidentiality of your personal information and promises only to use it for internal purposes as it relates to this request. If you are uncertain about transmitting this information over the Internet, select the Reset Form button. You may call Kelsey-Seybold at 713-442-0427 during normal business hours: 7:30 AM to 5:00 PM CST Monday through Friday.
 
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The health information contained on this website is for educational purposes only and does not constitute medical advice or a guaranty of treatment, outcome, or cure. Please consult with your healthcare provider for specific medical advice. This information is not intended to create a physician-patient relationship between Kelsey-Seybold Clinic or any physician and the reader.

The Kelsey-Seybold Clinic service mark is licensed from St. Luke's Episcopal Health System.

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