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To save time at your office visit our registration paperwork is available on our website.
Please download and print all forms, fill them out completely, and bring them with you to your appointment. If
any patient information has changed since your last visit, such as your insurance carrier or your address,
please complete a new registration form as well. Please bring your insurance card and photo identification to
all appointments, as well a referral from your primary care provider, if required by your insurance company.
Please remember to sign and bring all forms with you when you come to the office for your visit.
Please download and print all forms, fill them out completely, and bring them with you to your appointment. If
any patient information has changed since your last visit, such as your insurance carrier or your address,
please complete a new registration form as well. Please bring your insurance card and photo identification to
all appointments, as well a referral from your primary care provider, if required by your insurance company.
Please remember to sign and bring all forms with you when you come to the office for your visit.
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| Coppell Office 972-745-8400 |
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| (more than 1 year since last visit) |
| Southlake Office 817-337-3339 |