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Medical Forms Dallas

New Patient Forms

New Patient Info

Medical History

Minor Patient Responsible Party

Notice of Privacy Practices

Amsler Grid Card

LASIK Consult Form

Other Forms

Request for Medical Records

Credit Card Authorization

 

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      4708 Alliance Blvd., #620

      Plano, TX 75093

      469.331.8585

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      1910 E State Hwy 114

      Southlake, TX 76092

      817.481.2727

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      440 W. Interstate 635, #300

      Irving, TX 75063

      214-328-0444

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