We request that all new patients open, print, complete and return the following forms prior to or the day of your first appointment with Dr. Holt.  

Please feel free to contact our office with any questions or concerns that you may have regarding these forms.

Our office does have a 48 hour cancellation policy.  If you are unable to keep your scheduled appointment, please contact the office at least 48 hours in advance to avoid being charged the full fee of the missed appointment.  

To help locate our office, you can download the Memorial Hermann Find My Way app to your mobile device.  It will help you find the most convenient parking for your appointment and get door to door instructions for your office visit.  You can download the free app to both android and apple phones.  Please see for more information.  

Contact Information:
Dr. Jessica B. Holt
920 Frostwood, Suite 670
Houston, TX  77024
Phone:  (713) 906-7998
Fax:  (866) 594-8432