How Can We Help?

Call Back Request

Due to heavy call volume, an online request may allow for a faster response for your needs. All messages left after 4:00pm will be reviewed the next business day. If you need emergency assistance please call 911.

Please fill out patient information below.

  1. Please download and complete a Consent of Release form. You may fax, mail or email this form to: records@houstonadultpsychiatry.com
  2. If you are requesting release of information to a physician's office for continuation of care, please include the exact name of the provider or facility, phone number and fax number.
  3. For purposes other than continuation of care, the standard administrative charge for records may apply.
  1. Please fax paperwork/documents to be completed to (832) 384-1585
  2. We cannot fill out evaluation forms or disability paperwork until you are an established patient for at least six months.
  3. ALL sections on any paperwork MUST be filled out and SIGNED for your request to be process.
  4. Houston Adult Psychiatry charges an administration fee of $40.00 for the first page and $25.00 per additional page of any paperwork that needs to be completed.

Call Back Request

Due to heavy call volume, an online request may allow for a faster response for your needs. All messages left after 4:00pm will be reviewed the next business day. If you need emergency assistance please call 911.

Please fill out patient information below.

  1. Please download and complete a Consent of Release form. You may fax, mail or email this form to: records@houstonadultpsychiatry.com
  2. If you are requesting release of information to a physician's office for continuation of care, please include the exact name of the provider or facility, phone number and fax number.
  3. For purposes other than continuation of care, the standard administrative charge for records may apply.
  1. Please fax paperwork/documents to be completed to (832) 384-1585
  2. We cannot fill out evaluation forms or disability paperwork until you are an established patient for at least six months.
  3. ALL sections on any paperwork MUST be filled out and SIGNED for your request to be process.
  4. Houston Adult Psychiatry charges an administration fee of $40.00 for the first page and $25.00 per additional page of any paperwork that needs to be completed.