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Forms and Policies

Referring Physicians

Referring Physicians Hotline: (713)790-0368

Fax Line: (713)790-1802

Main Office: (713)790-9125

Please fax referral documentation, as well as a copy of the patient’s last office note, EKG, and recent labs, if available.

Office Appointments

Business hours are Monday through Friday, 9:00 AM to 5:00 PM, excluding holidays.

Please bring your insurance card(s), a photo ID, and a current list of medications (including the name of each medication, dosage, and frequency taken) to your appointment. Update us with any changes in insurance information, address, phone number, or other necessary contact information.

New Patients: For appointments, please call (713)790-9125. A new patient packet will be given to you. Please complete it and bring to your first appointment. We request you arrive 30 minutes early to your new patient appointment.

Existing Patients: For appointments, please call (713)790-9125, or use the Patient Portal found here.

Late Arrival Policy

As a courtesy to our other patients, those who arrive more than 15 minutes late for an appointment may need to be rescheduled. Advanced notice of your late arrival is necessary for any special circumstances or allowances.

Cancellations/Missed Appointments Policy

Please notify us as far in advance as possible if you need to cancel. This allows another patient accessibility to that time slot. At the very least, we kindly ask you call us 24 hours in advance for cancellation of appointments.

Completion of Forms and Letters

Please allow up to 5 business days for completion. The practice may charge fees as permitted by applicable law.

Medical Records

Patients must complete a medical records release form to have their records sent to a third party, or for personal use. Forms may be completed in the office, or faxed to (713)790-1802. the practice may charge fees as permitted by applicable law.

Request for Pre-Operative Clearance

In order to provide pre-operative clearance for surgical procedures, ICA Cardiology may necessitate patients to have been seen in our office within the past 90 days.

Prescription Refill Policy

Please allow 5-7 business days for a refill request at a local pharmacy and up to 2-3 weeks for mail order prescriptions.

After Hours Calls

The on-call physician is available by answering service after hours, weekends, and holidays for urgent circumstances and emergencies. Please do not contact the on-call physician after hours for routine appointment scheduling.

Insurance and Contact Information

Please provide us a new copy of your insurance card(s) every twelve months, or whenever your insurance coverage changes so we have the most up to date information on file. If you are a new patient, have not been since in our office in over a year, and/or this information has changed since your last visit, please update your insurance and contact information as indicated.

Health Information Library

A vast amount of health-related information is available on the Internet. The links and resources are provided as a starting point for research on the heart and other health-related topics. ICA Cardiology, PLLC does not take any responsibility for the accuracy, completeness, or reliability of these sites or for any characteristics of their sponsor(s). The ICA Cardiology, PLLC website does not endorse any specific commercial products or devices contained within the site itself or within links to other organizations or commercial entities. Our Health Library information does not replace the advice of a doctor. Please be advised that this information is made available to assist our patients to learn more about their health. Our providers may not see and/or treat all topics found herein.

Statement of Non-Discrimination

The Statement of Non-Discrimination can be found here.

Privacy Policy

Our Privacy Policy may be viewed here.

Notice of Privacy Practices

Notice of Privacy Practices