Online Forms
The forms below may be may be printed out for your review. These forms are also available at our office.
Patient Information Sheet
Please print, complete and bring to your first appointment. This will save you time when you come for your appointment and help you avoid filling out additional paperwork.
Download: Patient Information Sheet 
Office Payment Policy
There can often be misunderstandings when it comes to payment in a medical office; therefore we have designed an office policy to help explain to our patients the financial part of their surgery.
Download: Office Payment Policy
HIPAA Patient Consent Form
Download: HIPAA Patient Consent Form
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- OFFICE LOCATION
- 3100 New Copeland Road
- Tyler, TX 75701
- Phone: (903) 597-2848
- Fax: (903) 593-9626
- Map | Hours
What is HIPAA
The Health Insurance Portability and Accountability Act of 1996 or HIPAA is a law that protects
millions of working Americans and their families who have medical conditions or who might have trouble getting medical
insurance because of a medical condition that they had before they were trying to buy medical insurance coverage.
More info on HIPAA