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Office Policy


Please arrive on time for your appointment.
If you are more than 15 minutes late, you may be asked to reschedule.

Cancellations/ No-Shows: 
We kindly request at least 24-hour notice when canceling appointments. There will be a $35.00 charge for canceled or no-show appointments with less than 24-hour notice. Additionally, patients who miss three appointments without contacting our office can be discharged from the practice. 

Prescription refills

Please check with your pharmacy to see if you have any refills available prior to calling the office. 
If no refills are available the pharmacy can send us an electronic refill request.
If it has been more than 6 months since you were last seen you will need to make an appointment to get a prescription refill.

Insurance & Payments

All payments are due at the time of service, including follow-up visits and tests. All fees, co-pays, coinsurance, deductibles, and outstanding balances are due at the time of service or your appointment will be rescheduled.  Failure to collect such balances as a result of oversight or misinformation provided by the payer does not void or negate balances due and may be subject to additional late and collection fees. Other than maternity packages payment plans are not available. Payments for surgeries must be made prior to the surgery date, if not the surgery will be rescheduled.

Due to the ever-changing insurance policies’ rules and regulations, it has become necessary to make it the patient’s responsibility to understand their coverage and provide the correct health insurance information at the time of service. At your initial visit, you, the patient, are responsible for your copayment/coinsurance amount plus any deductible. If our office cannot verify insurance benefits prior to your visit, payment in full is due when you check in for your appointment. If your insurance carrier sends payment directly to you, payment in full is due at each visit. Should an overpayment occur on the deductible or percentage amounts charged, a credit will be applied to your account with us.


There is a  $35.00 fee per form that needs completion.  These forms can be faxed to 832-615-1110 or sent to our secure email at  Please keep in mind there is a 10-business-day turnaround for these forms to be completed. Make sure you have completed your portion of the forms prior to sending them to us along with the dates that are being requested.  

Lab & Study Results

In order to minimize miscommunication of study results, details will be addressed with our patients during the time of the office visit. Specific details of lab and study results will not be discussed over the phone. In the event of an abnormal result, we ask our patients to come in for an office visit for interpretation of results, further evaluation, and to discuss the abnormal findings and treatment plan with a Provider. You will receive a call from our office with instructions on when you should return.

All normal results will be published in your patient portal after they have been reviewed.  Please check your portal prior to calling our office. If you have questions or concerns about normal study results, we invite you to come in for an office visit and have a Provider interpret the results & discuss any of your remaining questions and/or concerns. There will be a charge for these visits.  

Telephone Messages

When leaving a telephone message, please allow 24-48 hours for a return call from one of our office staff. Please also remember that the staff will not be able to refill medications, dispense medical advice, or make changes to any treatment modalities over the telephone. If your needs must be addressed sooner, please schedule an office visit any time during office hours.

Medical Excuse of Absence

An excuse for absence will be granted by the provider based on medical necessity. If an extension is required for an excuse of absence, the patient will need to be re-evaluated with an additional office visit. An excuse of absence or an extension for an excuse of absence cannot be granted without an evaluation by a Provider during an office visit.

Cell Phone Use

In consideration of the medical clinic and other patients, we ask that you turn off cell phones or use the vibrate setting when visiting us. Please do not answer or talk on your cell phone while in the exam room.  If the provider walks in and you are on a call the provider will move on to the next patient. 


Only one guest is allowed to accompany the patient. Please note that this can change at any time. Children cannot be left unattended at any time during the visit so we ask that you please arrange childcare prior to your appointment. 

Referrals & Prior Authorizations

Please allow 7-14 days for the processing of referrals and prior authorizations. Sometimes this process may take longer than we like, but please be patient as we work with your insurance company and primary care provider to get you the superior healthcare you deserve. Please be advised that you, the patient are the one ultimately responsible for making sure referrals and prior authorizations are obtained before being seen in our office

Disruptive Behavior

HCSCode of Conduct defines disruptive behavior as anything that an individual might do which may (A) interfere with the orderly conduct of the clinic (B) interfere with the ability of others to effectively carry out their duties (C) interfere with patient care (D) undermine a patient’s confidence in the facility or any member of the healthcare team (E) behavior and/or language which may be interpreted as being offensive, disrespectful, demeaning, abusive, combative, confrontational, or deemed to be inappropriate in any manner. HCS is fully committed to protecting its staff, providers, and patients against any form of disruptive behavior. Once the cornerstone of the Provider/Patient relationship is eroded, the facility reserves the right to discharge the patient from the practice permanently. This applies to the guest accompanying the patient as well.  HCS will aggressively pursue and litigate against any disparaging statements and/or behavior that may be deemed as defamatory, libel, or slanderous. 
Texas law makes it a felony to assault a healthcare worker who is performing his/her duties. HCS will prosecute to the full extent of the law. Harassment and/or intimidation may be considered assault.