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Dallas-Area Patient Forms

Once you have downloaded our medical forms, fill them out and fax them to our office (972.231.8881), or bring them to your first visit. Please include a copy of both the front and back of your insurance card if possible.

New Patient Packet:

New Patient Registration Form

New Patient Health Questionnaire

Medical Record Release Form

Insurance Accepted

 

ACCEPTING NEW PATIENTS!
Call 972.231.8883 to make an appointment.

 

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© Copyright 2007-2011 - Lakewood Hills Internal Medicine, PA - Felicia Lewis, MD

 

Office
972.231.8883

Fax
972.231.8881

399 W. Campbell Rd,
Ste #102
Medical Plaza 2 Richardson, TX 75080

HOURS
Mon-Fri:
8 am - 5 pm