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Patient Forms

We are so pleased that you have taken the first step and set up your consultation with one of our Doctors.  Please take a few minutes to print off and fill out these documents and bring them with you to your consult.  We look forward to meeting you in person and please call our offices should you have any questions at all.

 

Cover Letter

 

Authorization for Disclosure

 

Health History Form

 

Consent Form

 

Patient Insurance

 

 

 

Our Offices

Decatur
800 Medical Center Drive, Ste. D
Decatur, TX 76234
Toll Free: 877.204.6483
Local: 940.626.4683
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Las Colinas
6750 North MacArthur Blvd.
Suite 211, Irving, TX. 75039
Toll Free: 877.204.6483
Local: 940.626.4683
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