Opening Hours : Monday-Thursday 10:00 AM - 7:00 PM
Contact : (713) 978-6337

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Progressive Medicine
New Patients

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New Patient

First Name

Date Of Birth
Sub Label

Sex

Male

Female

Address

Email

Phone

Injury Type

Your Claim No

Last Name

Social Security No

Single

Married

Divorced

Separate

Home Phone

Cell Phone

Occupation

Reason For Your Visit

Date of Injury

Describe your symptoms

Signature

Signature of patient / Legal Gurdian

Today Date

SERVICES

General Medicine

School Physicals

Accidents & Personal Injury

Chiropractic

Treatment & Diagnostics

CONTACT FORM

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Progressive Medicine Associates

At Progressive Medicine Associates, we care about our patients. Our walk-in medical clinic is in a convenient location near the corner of Westheimer and Fondren, allowing patients access to medical services such as: occupational medicine, sports injury care, sports medicine, auto accidents, personal injury, work injuries, and physical rehabilitation.

Our Hours

Days - Hours

Monday-Thursday

10:00 AM - 7:00 PM

Friday

10:00 AM - 5:00 PM

Progressive Medicine Associates