Call us to schedule an appointment : 281-373-9400
Request an Appointment
Please note that this page should only be used for established patient appointment requests that will take place at least one week in the future. If you are a new patient please call our office at 281-373-9400 to schedule your first appointment.

Please complete the form below. You will receive an e-mail when your appointment request is processed. Please allow two business days for a reply.
Please provide all of the following information:
 
Patient Information
Name
Date of Birth
Calendar (mm/dd/yyyy)
E-mail
Home Phone
Office Phone
Cell Phone
Enter Insurance Informations

Appointment Information
Appointment day needed
I would like to see my doctor
Appointment time needed
Reason for Visit
Is there anything further you need to tell us about your appointment?
 
Patient Consent and Disclosure
Consent to treat a minor
Authorization for electronic exchange of immunizations
Notice of Acknowledgement Advance Directive
14315 Cypress Rosehill Rd.,
Suite 180
Cypress, Texas 77429
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Monday-Friday: 9:00a.m. to 5:00p.m.
Saturday: A.M. by Appt.
Sunday: Closed
DR. AMIT PARIKH, D.O.
Phone: 281-373-9400
Fax: 281-373-9403
HCFPSM@sbcglobal.net