Patient Forms

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New Patients

As a new patient of Plano Orthopedic Sports Medicine and Spine center you will be asked to complete some required medical history and registration forms to bring to your initial appointment. If this is not possible, please plan to arrive 15-20 minutes early to allow time to complete the forms provided in our office.  Please understand these forms are to ensure we have accurate information on you as a patient, including but not limited to, health insurance, medical history, current medications and history of your current injury or condition. All of this information allows our physicians to provide the best care possible by knowing your medical needs.

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Completing the Registration a Two-Step Process:
  • Fill out new patient registration forms linked to the physician you are seeing.  Click on physicians name below. Fill out, print and bring to your office appointment.
  • An email will be sent to you with a login to the patient portal link to complete the “Health History Form”.  This email should be received within 24 hours of making your initial appointment.  This gives you access to your medical information via our portal as well.
  • Should you have any questions or concerns please feel free to contact us, we look forward to seeing you soon.
  • Login Now Button will take you to the Patient Portal for “Health History Form Only” Click Physician Name below for Registration Packet.

Login Now Patient Portal

MEDICAL RECORDS REQUEST
MEDICAL RECORD DOWNLOAD REQUEST

To obtain a copy of your Electronic Medical Record via Download click the following link:

LOGIN OR REGISTER

http://medrelease.healthmark-group.com/360

 

 

MEDICAL RECORD FAX REQUEST

To request a copy of your medical records by fax please print the following form:

Medical Records Request Form

Fax #972-250-5749

ADDITIONAL FORMS

X-Ray Pregnancy Consent Form:
Please bring the signed form below if you are a woman in order to comply with the consent of x-ray and the affects on pregnancy.

Prescription Medication: Hydrocodone Rules:
Effective October 6, 2014 you must have a written prescription to give to your pharmacist for Hydrocodone medications. To learn more about this please review the form below.

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Our Patients’ Voice

"I wish every single doctor office ran like Plano Orthopedic. Efficient, on schedule, knowledgeable and friendly. I recommend this place to everyone."
2016-02-02T09:14:04+00:00
"I wish every single doctor office ran like Plano Orthopedic. Efficient, on schedule, knowledgeable and friendly. I recommend this place to everyone."

Our Patients’ Voice

"The best part of the visit was the friendly family attitude that older people value -- no cold professional hurried treatment. I highly recommend Plano Orthopedic."
2016-02-02T09:23:57+00:00
"The best part of the visit was the friendly family attitude that older people value -- no cold professional hurried treatment. I highly recommend Plano Orthopedic."

Our Patients’ Voice

"Everyone is great at what they do and they compliment each other's jobs and positions. Great office."
2016-02-02T09:24:15+00:00
"Everyone is great at what they do and they compliment each other's jobs and positions. Great office."

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