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Patients of Drs. Irr, Vanderlick, and Chachere II

New Patients Click Here.

If you are an existing patient, please use the patient portal to schedule a follow-up appointment for a faster response.

After you submit the forms, someone from the office will contact you within 24-48 hours to schedule an appointment.

Please do not call after you submit the forms as it will delay the process.

Patients of Dr. Verma

Please print the following forms and bring them with you at the time of visit or email them to To reach her clinic call 713-795-4785, press option 2.

Acknowledgment and Consent
Authorization to Obtain Release Info
Patient Information
Past Medical History
Notice of Privacy Practices