Upright MRI Imaging & Diagnostic
Sugar Land & Clear Lake
Patient Information
Our registration process may be completed online before your appointment. You can fill out the forms below, then e-mail them, or print, fax and/or bring them with you to your appointment. This will enable us to verify your insurance in a timely manner.
Please be advised that our office will also need a copy of your insurance card, both front and back. If you email or fax these documents, please include a copy of your card at that time. If you bring the completed forms with you, please arrive 20 minutes prior to your appointment time to allow our insurance department sufficient time to verify your benefits.
CLEAR LAKE
1202 NASA Parkway
Nassau Bay, Texas 77058
Phone: 281-335-0505
FAX: 281-335-0202
SUGAR LAND
2655 Cordes Drive, Suite 150
Sugar Land, Texas 77479
Phone: 281-494-0505
FAX: 281-494-2776