For your first visit to North Texas Ob-Gyn Associates, we will need you to complete our New Patient Registration Forms. We have set up the forms where you can type in the information then print them to be signed. Please bring the completed forms with you to your visit along with your insurance card and driver's license or other photo ID and arrive 15 minutes prior to your appointment time.
Due to HIPAA regulations, we are required to have written consent pertaining to your Personal Health Information (PHI). Please complete the correct form below and drop off, fax (972-221-8246) , or email the form to us at firstname.lastname@example.org.
Medical Records Leaving North Texas
Medical Records Coming To North Texas
Notice of Patient Privacy
Request for Accessing/Inspecting/Copying Health Information
Request for Alternative Means Of Communication of PHI
Request for Amendment of Health Information
Request for Restrictions on Use & Disclosure of Health Information