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(713) 257-8612
5505 W. Orem Dr. Suite 400, in Windsor Village

CARING FOR
THE EYES OF TEXAS

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Online Patient Registration Form

Please complete the information below and submit the form online, or if you prefer print out the form after full or partial completion, and bring it when you come to our office. This form contains confidential information and is delivered to your doctor through a secure Internet connection.

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Dr. Maxwell Olumba OD

Dr. Rokeisha Joseph OD

Our Location

5505 West Orem Drive #400
Houston, TX 77085