Patient Forms

Patient Forms

If you are a new patient, please download and fill out the patient questionnaire form below and either fax it to us at 713-963-0476 or email us at

New Patient Questionnaire Form

ESG Out-of-town Consent Forms


Some of our patients choose to track and share their story to help and inspire others on their weight loss journey. If you would like to share your story, please download and sign our model release form. Then fax it to us at 713-963-0476 or email it to

Model Release Form

Make an appointment with Dr. Marvin for diagnosis and treatment.