Schedule your Appointment
*If you can not find appropriate time, call our clinic (281-213-4224)
(for New Patient)
Please download intake form, print out, fill in, and bring it to the clinic or send it to info@skyacu.com for saving time. All of the forms are confidentially protected by the rule of HIPPA. The form consists of the following as below.
- Patient Information
- History of Symptoms/Diseases
- Consent Form
- Credit Card Authorization Form
(for Visit)
(for Telehealth)
Download Telehealth Care Intake Form
Please make sure the payment policy at intake form.
No Shows without notice pay 50% of full cost of the missed appointments.
Cancellation made less than 12hrs before the appointment time pays $20.
Tardy Policy more than 15 minutes late without notice pays $10.
* FSA(Flexible Spending Accounts)/HSA (Health Savings Accounts) Cards are acceptable.
*No Health Insurance yet
(The Super Bill is provided to patient for submission to insurance company, if necessary)