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CALL US: 214.888.3234
8611 HILLCREST ROAD, SUITE 235, DALLAS TX 75225

New Patient Forms

To help prepare for your visit, we provide patient forms that may be completed in advance.

At this time, all patient forms are available as PDF documents and cannot be completed electronically. Please print the forms, complete them by hand, and bring them with you to your appointment, or email the completed forms to our office as instructed by our staff.

Please download and complete the following form prior to your appointment.
If you are unable to complete them in advance, printed copies will be available in our office.

[Download Patient Form]

Our Notice of Privacy Practices explains how your health information may be used and disclosed, and how you can access this information. This notice is provided in accordance with HIPAA regulations.

[View Notice of Privacy Practices]

Once completed, please submit your forms using one of the following methods:
• Bring printed forms with you to your appointment
• Email completed forms to our office (if instructed by our staff)
• Complete forms in-office on the day of your visit

Please do not submit personal health information through general contact us form.