Center for Academic and Psychological Services
Bellaire and Houston Area
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Information Request

If you are interested in information about one or more of our services, or if you wish to make an appointment with one of our clinicians, please complete and send the following form. Someone will make every effort to contact you within 1-2 business days. If your request is of an urgent nature, please call our office main number at 713-664-1300. In an emergency, please call 911 or go to your nearest emergency room.

We are committed to your privacy. Do not include confidential or private information regarding your health condition in this form or any other form found on this website. This form is for general questions or messages to the practitioner.

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