Appointment Line:
Call Us at: 972 258 7499

PATIENT INFORMATION

As a convenience to our patients we have gathered the following information and resource material that can be printed, completed and then mailed, fax’d or brought to our office.

Patient Forms 

New Patients   

• Registration Form 
   
• Medical History Questionnaire 
   
• HIPAA    
   
• Please read our Privacy Policy, then complete this Acknowledgement of Receipt of Privacy Policy
   

Existing Patients 

• Registration Form - patients needing to make changes to their original registration form, i.e. insurance or emergency contact information   
   
• Authorization To Release Healthcare Information – To be used by patients needing to release all or part of their healthcare information to another physician or hospital   
    
• Please read our Privacy Policy, then complete this Acknowledgement of Receipt of Privacy Policy

Other Information

Insurance Information – Review our current list of insurance providers; however, this list frequently changes, so please contact our office to confirm that we are on your plan. 
 

Education – Links are made available to research common medical disorders through Family Doctor website.  Also, our main hospitals, Baylor and Las Colinas Medical Center are provided for your convenience.