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A green background with blue letters that say focus on neuropathy.

(214) 540-1400

  • About Us
    • Providers
    • Staff
  • Services
  • Patient Resources
    • Documents and Forms
    • Pay Your Bill Online
    • Accepted Insurances
  • Patient Portal
  • Medical Records Request
  • Community Involvement
  • Contact
×
  • About Us
    • Providers
    • Staff
  • Services
  • Patient Resources
    • Documents and Forms
    • Pay Your Bill Online
    • Accepted Insurances
  • Patient Portal
  • Medical Records Request
  • Community Involvement
  • Contact
A green background with blue letters that say focus on neuropathy.

(214) 540-1400

  • About Us
    • Providers
    • Staff
  • Services
  • Patient Resources
    • Documents and Forms
    • Pay Your Bill Online
    • Accepted Insurances
  • Patient Portal
  • Medical Records Request
  • Community Involvement
  • Contact
×
  • About Us
    • Providers
    • Staff
  • Services
  • Patient Resources
    • Documents and Forms
    • Pay Your Bill Online
    • Accepted Insurances
  • Patient Portal
  • Medical Records Request
  • Community Involvement
  • Contact
A green background with blue letters that say focus on neuropathy.

(214) 540-1400

  • About Us
    • Providers
    • Staff
  • Services
  • Patient Resources
    • Documents and Forms
    • Pay Your Bill Online
    • Accepted Insurances
  • Patient Portal
  • Medical Records Request
  • Community Involvement
  • Contact
×
  • About Us
    • Providers
    • Staff
  • Services
  • Patient Resources
    • Documents and Forms
    • Pay Your Bill Online
    • Accepted Insurances
  • Patient Portal
  • Medical Records Request
  • Community Involvement
  • Contact
A collage of doctors and nurses with stethoscopes.

Patient Documents and Forms

Authorization to Disclose Protected Health Information Form (To Obtain)

Authorization to Disclose Protected Health Information Form (To Release)

New Patient Packet

Acknowledgement Form

Notice of Privacy

Financial Policy

APP Information

No Show and Cancellation Policy

HMO Insurance information

A green background with blue letters that say focus on neuropathy.
  • 2821 East President George Bush Hwy., Suite 303
    Richardson, Texas 75082

  • (214) 540-1400

  • (972) 234-4985

  • [email protected]

  • Mon - Thu: 8:00 AM - 4:30 PM
    Fri: 8:00 AM - 12:00 PM
    Sat & Sun: Closed

  • About Us
    • Providers
    • Staff
  • Services
  • Patient Resources
    • Documents and Forms
    • Pay Your Bill Online
    • Accepted Insurances
  • Patient Portal
  • Medical Records Request
  • Community Involvement
  • Contact
×
  • About Us
    • Providers
    • Staff
  • Services
  • Patient Resources
    • Documents and Forms
    • Pay Your Bill Online
    • Accepted Insurances
  • Patient Portal
  • Medical Records Request
  • Community Involvement
  • Contact

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