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To make your first experience
with IMPACT Physicians of Texas,
PA a pleasant one, please
complete the following forms (if
applicable) by the time of your
first visit. We encourage you to
download the forms and complete
prior to your appointment. This
will save you from having to
come in early for your
appointment to complete the
forms and assist in making sure
you have all information that is
applicable / necessary.
New Patients:
Please complete the following
forms and present them to the
appointment administrator at the
time of your appointment.
»
New Patient Information
Record
»
Medical
Record Request
»
Acknowledgement of Receipt of
Notice of Privacy Practices
»
Notice of
Privacy Practices
»
Consent
& Assignment
After reading this
information, if you have any
questions, please feel free to
call our appointment
administrator at (210) 690-0202.
Thank you again for choosing
IMPACT Physicians of Texas, PA. |
