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Please print out the 8 new patient forms below, fill them out and bring them with your to your appointment along with the information listed in Information to Bring with You.

Get Acrobat ReaderThe forms are in Adobe PDF format. To download the free Adobe Reader, click the "Get Adobe Reader" image.

Information to Bring with You

  1. Patient Information
  2. New Patient Office Visit Form
  3. SF-12 Patient Questionnaire
  4. Medical History
  5. Release of Information About Previous Joint Replacements
  6. Authorization of Use and Disclosure of Protected Health Information
  7. Patient Questionnaire
  8. Advance Beneficiary Notice of Charges for Phone Consultations

Main Clinic

.8 mile east of Presbyterian Hospital of PlanoPlano
5940 W. Parker Road #100
Plano, Texas 75093

Click on a map for a larger version. Map will open in a new window.

Satellite Clinic

 Claydesta
Midland
Claydesta Plaza
10 Desta Drive Suite 100 E
Midland TX 79705

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