TexasMD Internal Medicine Dallas

Forms and Publications

New Patient Forms

New patient registration form (PDF)
In order to save you time, we have provided the registration form online. Please print this form, fill it out and bring it to the office on your first visit. This is for all new patients and for existing patients who have not been to the new office yet.

Medical Records Release form (PDF)
This is an Authorization to Release Health Care Information. This form allows us to get records from your previous physician or from a specialist.

Notice of Billing Policies (PDF)
This is a summary of our office finanical policies.

Notice of Privacy Policies (PDF)
This notice explains how we help to protect your privacy.

Miscellaneous Forms

Vaccine Information Sheets (PDF collection)
Important information you should read before getting a vaccine at our office. Some vaccines may need to be special ordered or many not be currently available. Please contact us with questions.

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