SURGERY HOTLINE:
214-328-0444
MAIN NUMBER:
214-574-9600

TOLL FREE: 844-900-3937

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

Good Faith Estimate

 

Download Acrobat Reader

Free Consultation

Schedule a free consultation




    I agree to the Terms of Use

    This is for new surgical consults only. All other patients can reach us at 214 574-9600.

    Associations Logos
    Our Locations
    • Plano, TX
    • Southlake, TX
    • Irving, TX
    • M-F 8am-5pm

      4708 Dexter Dr #450

      Plano, TX 75093

      469.331.8585

      Plano, TX Map Get Directions
    • M-F 8am-5pm

      1900 E State Hwy 114

      Southlake, TX 76092

      817.481.2727

      Southlake, TX Map Get Directions
    • M-F 8am-5pm

      440 W. Interstate 635, #300

      Irving, TX 75063

      214-574-9600

      Irving, TX Map Get Directions
    Contact Us

    How Can We Help You?

      I agree to the Terms of Use*