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Referral Form

Provider to Provider: For Provider offices seeking to refer patients to one of our specialties, select the Family Care Center provider here that meets your patient’s need. Referrals may be sent electronically or via fax to 713-743-1049.

Non-Providers: To seek an appointment for yourself or someone else, please complete the contact form below. Our staff will reach out to coordinate your care.


Find Us


UH Health Family Care Center
University of Houston Campus
Health 2 Building, Suite 1001E
4349 Martin Luther King Boulevard, Houston TX, 77204


Business hours: M-F 8 a.m. - 5 p.m.
Phone: 713-743-9682
Fax: 713-743-1049