Howser Primary Care
Patient Information
About
Contact
Visit & Billing
About the Patient
Contact & Address
By checking this box, you agree to receive SMS appointment related text messages from SureVisit Health at the number you provide. Message frequency may vary. Standard Message and Data Rates may apply. Reply STOP to opt out. Reply HELP for help. We will not share mobile information with third parties for promotional or marketing purposes. Consent is not required to receive care from health care practices. Link to Privacy Policy here
Visit Type
Enter the primary reason for your visit, e.g. Exam or Sore Throat, etc.
Billing Information
OptionalYou can skip this now — we'll collect billing details in your pre-visit confirmation.