Forms
New Patient Package Notice of Privacy Practices Refer a Patient Authorization for Release of Medical Records Appointment Cancellation/No show Policy Remote Patient Monitoring Consent Form
Patient Resources
The friendly staff at Dr. Alizera Nazeri’s medical practice welcomes your call and looks forward to serving you. If you have any questions about our cardiology services, please call our office at (713) 909-3166 or send us an email to [email protected].
Appointment Request with Dr. Nazeri
In addition to in the office visit, we are pleased to announce that Dr. Nazeri is providing the easy-to-use, accessible benefits of virtual visits to all of our patients. The patients who are at high risk of complications from the virus that causes the COVID-19 infection may consider using this option instead of the usual in-person office visit. A virtual visit is a virtual one-on-one office visit through the phone or video conferencing with Dr. Nazeri. ‘Virtual’ meaning that it takes place over an internet connection through a computer or cell phone.
New patients: To schedule a consultation, you can call us at (713) 909- 3166 or request an appointment online.
Established patients: To schedule a follow-up appointment, you can request through patient portal OR fill out the Request Appointment Online form or call us at (713) 909- 3166 to request one.
Please read our COVID-19 Information before your in-office appointment.
International and out-of-state Patients: We accept patient from all over the United States and the world. After receiving your request our concierge team will contact you, speaking your own language or a live professional translator. Our team will work with you to accommodate your needs from setting up the visit with Dr. Nazeri to help you with your travel and accommodations arrangement. Please call our office at (713) 909-3166 or send us an email to [email protected] or simply fill out the Request Appointment Online form.
Patient forms and instructions
You can conveniently find our forms and instructions in this section. Our forms are electronic, you can easily complete, sign and submit them to us using your computer, smart phone or tablet. We highly encourage you to complete the relevant forms before your appointment.
To view the forms listed below, you will need to download Adobe Reader. Please bring your completed forms with you to our office at the time of your visit.