|AR Texas Pediatrics | 281-484-7619|
|11914 Astoria Blvd, Suite 450, Houston, 77089 TX|
|800 Bonaventure Way, Suite 133, Sugar Land, 77479 TX|
Read consent form ahead of time, of your appointment!
CONSENT MUST BE SENT ASAP OR APPOINTMENT CANNOT BE DONE.
If you are unable to print, scan and email back the consent form fill out the form on this page.
Required Text (Copy&Paste). email this consent below to firstname.lastname@example.org
"I am parent of [ insert child’s name, insert child’s DOB], give consent to AR Texas pediatrics to do tele visit appointment. I have read and agree with the consent form."
Call or text 281-484-7619 today for an appointment!!