Patient  registration Information

forms to help your appointment go smoothly


For your convenience we have provided below the new patient registration forms for you to fill out before your appointment. Please fill out both the Patient Registration Forms and the Notice of Privacy. To download, click the form name. You may bring them to your appointment or fax them to us at 806.356.2527

Patient Registration Form

Notice of Privacy

Note: These documents are in PDF, which helps us keep the document in it’s intended format. If you do not have the Acrobat Reader application, which is used to download and read PDF files, you may download it by clicking here.
If you are looking for our location or contact information, please go to our Contact Us page.

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