Tele-Us Your Needs
Heart of Texas Region
Patient Request
Your schedule for the entire month is displayed on the calendar. You can click on the calendar to enlarge it. You can also use the form below to contact the doctor on- call directly.
The doctor on schedule is
Dr. Kirtan Patel
.
You can call the doctor at
+17244728354
, or use the form below and our system will send them a text message.
Patient Name
Patient MRN
Phone Number
Ext.
Person requesting consult
Consult Type
Tele-consult
Doc to Doc
Notes
25 characters maximum
Submit Patient Request
