New Patient Paperwork
In order to print this form, or any other document on this page, you'll need Adobe© Acrobat Reader (version 4.0 or later). You may download the program for free by clicking here, which will give you the download information for it in a new browser window.
If you are a new patient, please contact our new patient department at 214-540-0700, Extension 3 to schedule an appointment.
 New Patient Welcome Letter
Entire Patient Packet (includes all the files listed below)
New Patient History Form
Patient Information Form
Medical Release Form
Privacy Notice
Receipt of Privacy Notice
Authorization for Use and Disclosure
Office Information
Accepted Insurance Plans
Our doctors accept most managed care plans. Please call our office if you have a question about your plan well in advance of your appointment or click here for our current list of accepted plans.
Medicare Part D Information
Hospital Affiliations
Our doctors have privileges at University of Texas, Southwestern Medical Center at St. Paul,
Methodist Hospitals,
Baylor Health Care System at Irving,
Baylor Health Care System at Grapevine and the
Medical Center of Plano.
Office Hours
Hours of Operation are 9:00am - 4:30pm Monday - Thursday and 9:00am - 4:00pm on Friday.
One of the doctors is available 24 hours a day, 7 days a week for emergencies.
Spanish Speaking
We have bilingual staff members in each department to assist if needed. (Se habla español).
Scheduling
Call our office at 214-540-0700 or fax us at 214-540-0701
during office hours to schedule an appointment.
|
