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What to bring to your visit

Patient Forms

 

Patient Registration Forms

New patients, please complete the registration forms below before your appointment to help our staff gather all the necessary information to provide you with exceptional care. Bring the completed forms with you to your visit. Additional medical history forms will be provided for completion during your appointment. If you have any questions about registration or forms, feel free to contact us at (214) 540-0300.  

Registration Forms

Eligibility (Insurance enrollment) Forms

  1. Children’s Medicaid/CHIP/SNAP Documents | Documentos de Medicaid/CHIP/SNAP para niños
  2. What to bring to your visit | Qué llevar a su visita

Treatment of Minor Consent

Special Minor Consent Form | Formulario de consentimiento especial para menores

Information from LBU

Patient Rights and Responsibilities | Derechos y responsabilidades del paciente

Patient Centered Medical Home | Tu Casa de Salud Centrada en el Paciente

Advance Directives / Directivas Médicas por Anticipado

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