Print and complete the Health Questionnaire and HIPAA forms to bring to first appointment.

These forms have been placed here for your convenience.


  1. These forms can be viewed in your browser or downloaded to your computer.
  2. To view and print from your browser you will require the Adobe Acrobat Reader plug-in.
  3. To download and print you will need Adobe Acrobat Reader if it has not been installed.
  4. To get and install Acrobat Reader follow the link



(972) 742-1152


TUE - WED: 10am to 6pm

And by Appointment


4100 W. 15th St., Ste 120

Plano, TX 75093

Conveniently Located On the Corner of 15th St. and Commerce, inside of the West Plano Medical Center.


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