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Some Helpful Forms For Our New Patients

We now offer our patients to fill out your forms ahead of time online, utilizing a HIPPA secure site. This let's you get the paperwork out of the way so you  don't have the added pressure of filling out forms when you arrive for your appointment. Just click on the button below to be taken to the Online Forms Site. 



If you would like to write or type your forms in a more traditional manner, Click on any of the form names below to download. Forms are in PDF format; if you do not have a PDF reader, you may click here to download one.

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Phone (972) 867-0019


  • gi Plano, gi Dallas, colonoscopy
  • gi Plano, gi Dallas, colonoscopy
  • gi Plano, gi Dallas, colonoscopy

Board Certified Gastroenterologist

Fax (972) 867-7785

3242 Preston Road, Suite 200, Plano, TX 75093

Office Hours available Monday - Friday 8:30am - 4:30pm except Holidays

This website complies with Texas Medical Board Requirements. It was reviewed and Approved by Health Care Legal Counsel. It meets Regulatory Requirements and Is Not Intended to Be  Medical Advice.