| New Patient Registration |
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| For your convenience, you can download and print a copy of our
"New Patient Registration" form by clicking here or on the
icon at the right. When completed, fax
the form to us at (972) 612-9601. |
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The registration form is distrubuted in Adobe Acrobat (.pdf) format. If the patient form
does not display, you may need to install the Adobe Acrobat Reader on your computer. Click
on the icon on the right to download a free copy of Acrobat Reader. |
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| © 2006 James W. Douglas, M.D., P.A. |
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