New Patient Registration
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. new patient form
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. acrobat
© 2006 James W. Douglas, M.D., P.A.