972-519-0545
PLANO

**Next to Medical Center of Plano**

3801 West 15th Street
Bldg. D Suite 120
Plano, TX 75075

Mon - Thu: 8:30 am - 7:00 pm
Fri: 8:30 am - 5:00 pm
Sat 8:30 am - 12:00 pm
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FRISCO


**2 blocks north of Stonebriar Mall**

3550 Parkwood Blvd
Suite B-110
Frisco, TX 75034

Mon - Fri: 8:30 am - 5:00 pm

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Have a question that wasn't answered by our website?

Patient Forms

 

We realize you are busy and may find it more convenient to fill out forms prior to your visit, so that your wait time can be minimized when you arrive in the office. Below are forms you can print off, fill out, and bring to your appointment.

 

Medical Authorization Form


Patient Consent Form


Patient Health History Form


Patient Registration Form


Authorize Us to Receive Medical Records


Authorize Us To Send Medical Records

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APPOINTMENTS

972-519-0545

Fax: 972-964-0563

Billing: 972-964-0651