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Medical Forms Dallas

New Patient Forms

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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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Our Locations
  • Plano, TX
  • Southlake, TX
  • Irving, TX

  • M-F 8am-5pm

    4708 Alliance Blvd., #620

    Plano, TX 75093

    469.331.8585

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  • M-F 8am-5pm

    1910 E State Hwy 114

    Southlake, TX 76092

    817.481.2727

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  • M-F 8am-5pm

    440 W. Interstate 635, #300

    Irving, TX 75063

    214-328-0444

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