Request a Visit

Real MedCare practitioners visit you in the comfort of your home, thus minimizing hospitalizations, admissions to long-term facilities, or skilled care facilities.
Telehealth Services are also available.

New Patient- Request a House Call

Real MedCare is currently accepting new patients.

Please note that once this form is submitted, additional information must be obtained by our staff to fully register a new patient with our practice. This is done to protect your private information through the internet. One of our management staff will contact you by phone or email within 1-2 business days to complete the registration process.

If you prefer to speak to someone directly, please feel free to contact us at (281) 661-1079 or (281) 995-6073 during our regular hours.

Patient's Name

Who is the visit for?

Is the patient the primary contact?

Phone Number

Email Address

Patient Zip Code

Preferred Contact Method Preferred Contact Method Email Phone No Preference

Preferred Visit Type Preferred Visit Type In Person Telehealth

Name of Primary Insurance

Message

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