Family Practice & Sports Medicine

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

(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

Location:

14315 Cypress Rosehill Rd.,
Suite 180
Cypress, Texas 77429
Get Directions

Office Hours:

Monday-Friday: 9:00a.m. to 5:00p.m.
Saturday: A.M. by Appt.
Sunday: Closed

Physician:

DR. AMIT PARIKH, D.O.
Phone: 281-373-9400
Fax: 281-373-9403