Schedule an Appointment Patient InformationName* Email* Phone*Preferred Contact MethodBy PhoneBy EmailAppointment Request date and timeOffice Location*HumbleHumble (McKay Dr)Kingwood Women's CenterWillisDate MM slash DD slash YYYY Preferred TimeMorning (8am-12pm)Afternoon (12pm-5pm)First available As Soon As Possible Message * All indicated fields must be completed. * Please include non-medical questions and correspondence only. * Appointments not canceled within 24 hours will incur a fee of $50.00 * No show fee is $50.00 * STAT fee is $50.00 * Sedation fee is $50.00 * Minors cannot be left unattended and are not allowed in the scan rooms for their safety. Δ