Patient Forms
Here are a couple of our patient forms for your review. Please download and print form if needed. Do not e-mail completed forms with protected health information. You can bring the form to your appointment of fax the document to 806-744-7241.
You can click on these links to directly fill out a
The information will be directly submitted to our office database. The server is secure (https) and your information is protected.
You can click on these links to directly fill out a
The information will be directly submitted to our office database. The server is secure (https) and your information is protected.
| patient_information_med_history.pdf |
| patient_information_med_history_spanish.pdf |
| general_consent.pdf |
| sedation_instructions.pdf |
| notice_of_privacy_practices.pdf |
| post_operative_sedation_instructions.pdf |
| covenant_surgicenter_instructions.pdf |
| lkd__post_surgery_instructions_english_.pdf |
| lkd__post_surgery_spanish.pdf |
