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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.

Dear Patients and Community

Local authorities have ordered a Stay Home order for most businesses in Houston/Harris county. We are currently operating from 10am-12pm for URGENT eye care visits (red eyes, infections, eye injuries, etc...), but no routine/wellness exams are being performed at this time. Furthermore, were are providing "Curbside" pickup of eyeglasses and contact lenses during those hours.

If contact lens wearers currently have less than three (3) months supply remaining, we highly recommend that they call to place an order now. Our doctors will approve up to an additional six (6) months supply. Furthermore, we will waive contact lenses shipping charges and ship directly to a home address at no charge.

With the day to day changes surrounding COVID19, we do not know how much longer our office will be open to the public. Due to this situation, we ask that any remaining glasses or contact lens supplies be picked up as soon as possible.

We thank you for your understanding and loyalty during this difficult time. Wishing you and you health and looking forward to serving you again soon.

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Dr. Maxwell Olumba OD

Dr. Rokeisha Joseph OD

Our Location

5505 West Orem Drive, #400
Houston, TX 77085