Patient  registration Information

forms to help your appointment go smoothly

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

Patient Registration Form and Notice of Privacy

Note: This document is in PDF format 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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