Patient Forms
To schedule an appointment,
call 214-942-5511.
Once you have made your initial appointment, you can preregister by using the new Patient Online forms (or downloading our PDF Forms). Please fill out these forms prior to your arrival. This will help speed up the new patient registration process and get you in to see the doctor faster.
New Patient Online Forms
ENGLISH FORMS
New Patient
- New Patient Welcome Letter
- New Patient Information
- Patient Registration Form
MORE FORMS
- Consent to Release Information
- Notice of Privacy Practices
- No Show Fees Form
- General Information with Map
- Patient Financial Policy Sheet
- Referral Information
Paciente Nuevo: Formularios En Español
- Registracion para paciente nuevo (Español)
Formulario en linea | PDF - Informacion Del Paciente
Formulario en linea | PDF
Formularios En Español
- Poliza de Cancelacion
Formulario en linea | PDF - Forma de Autorizacion Para Revelar Informacion de Salud Protegina
In addition to new patient forms, there are several forms for the tests we offer. If your physician orders one of these tests, please call our office to have one sent to you.
Please note: If you are unable to view the forms, you may need to download Adobe Acrobat.