In Houston and Memorial City, Texas

Now our patient forms are available online! Speed up your visit by filling out these forms in advance and bringing them with you to your appointment. All new patients must provide accurate information before meeting with Dr. Le.

You may fill out the form by hand or type in your information prior to printing.

  1. Complete form online, download, and print – Open form
  2. Download form, print, and fill in by hand – Open form