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Print All New Patient Forms

Notice of Privacy Practice: Explains how we may use your protected health information, provides examples and explains your rights.

Confidential Communications Form: Allows you to inform us where/how we may contact you and authorizes us to speak to designated persons, other than yourself, and details what we can discuss with them.

Medical Records Release: To be completed if you want us to send your records to another physician and/or if you want us to retrieve records from another physician.

Hereditary Cancer Screening Tool

Health Questionnaire 

Insurance Information Form 

Direct New Patient/Referral Line: 214-739-1706
Fax: 214-368-1611