For your visit, do you plan to use an HMO, Christus Ins, Medicaid, or Medicare Plan?

  • [[{"field_id":9090,"subrules":{"field_id":9087,"value":"No","operator":"Match"}}]]

Are you a new patient or an established patient?

  • [[{"field_id":9091,"subrules":{"field_id":9090,"value":"New Patient","operator":"Match"}}],[{"field_id":9094,"subrules":{"field_id":9090,"value":"Established Patient","operator":"Match"}}]]

What is the age of the patient?

  • [[{"field_id":9092,"subrules":{"field_id":9091,"value":"2-17 Years Old","operator":"Match"}}],[{"field_id":9093,"subrules":{"field_id":9091,"value":"18+ Years Old","operator":"Match"}}]]

What kind of appointment would you like to schedule?

What kind of appointment would you like to schedule?

What is the age of the patient?

  • [[{"field_id":9095,"subrules":{"field_id":9094,"value":"2-17 Years Old","operator":"Match"}}],[{"field_id":9096,"subrules":{"field_id":9094,"value":"18+ Years Old","operator":"Match"}}]]

What type of appointment would you like to schedule?

What kind of appointment would you like to schedule?