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We are in the process of creating new, easy-to-use OrthoTexas forms. In the meantime, please click on the following locations to be linked to existing forms or contact the office via phone to request that forms be mailed to you prior to your appointment.

Allen / McKinney Carrollton / Flower Mound Denton Frisco / Plano
Financial and Privacy Policy Disclosure of Ownership Form Accident and Injury Form Accident Injury Form
Patient Information Form Patient Information Patient Information Release Form Authorization of Disclosure
Patient History   Disability Form Authorization of Release of Information
Patient Injury Form   Patient History Form Consent for Use and Disclosure
    Financial Policy Financial Policy
    MRI Screening Form Medication Policy
    MRI What it Expect Privacy Notice
    Patient Information Form Notice of Privacy Practices-Frisco
    Physical History (Dr. House) Notice of Privacy Practices-Plano
      Patient History

 

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(855) ORTHOTX (855) 678-4689

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And Surgeons PLLC
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