Patient resource center

Click Here to Access Patient Portal

Telehealth Available at TOMAGWA


Please call the numbers below for any assistance:

Patient Access: (409) 234-1403

Medical: (409) 234-4869


How to become a patient at TOMAGWA

            1) Live in our service area,
                  (Zipcodes:  77068, 77069, 77070, 77316, 77354, 77355,                                          77362, 77363, 77375, 77377, 77379, 77388, 77429, 77447,

                   77484, & view list by county or city/township by clicking here),

           2) Have a household income (dependents only) of  200%

                    or less of poverty level (click here for federal income examples),       

            3) Complete forms below and provide requested information to                     forms@tomagwa.org, and

           4) Complete a tele-screening eligibility visit with medical form                         available.


Individuals interested in becoming a patient at TOMAGWA must email the below completed documents to forms@tomagwa.org


New patient forms:

What you need to bring - English | Lo que necesita traer- Español

Eligibility Application - English |Solicitud de Elegibilidad-Español

HIPPA Disclosure - English | Divulgacion de HIPPA -Español

Statement of Support - English | Declaracion de Apoyo - Español

Wage Verification - English | Verificacion de Salario  - Español

Medical History - English | Historial Medico - Español