We understand you want to have your office visit run as smoothly as possible. To help facilitate this process, we have provided our new patient forms here for you to download and complete before your first visit.
Simply click on the links below to download. Print, complete, and bring the forms to your appointment. In order to protect your privacy, please do not e-mail forms.
- New Patient Registration Form: English | Espanol
- Consent to Treat Form: English | Espanol
- History and Physical Form: English
- Guidelines Regarding Test Results: English | Espanol
- Disclosure Regarding Ancillary Services/Research Programs: English | Espanol
- Medical Release of Information Form: English | Espanol
- Gatorade/Miralax Colonoscopy Prep Instructions: English | Espanol
Note: The forms are saved in Adobe® Acrobat. If you would like to read, use the form features or print the Adobe files, you will need the Adobe® Reader (version 5.0 or later). Download Adobe Reader for free.
We believe in making it easy for our patients to focus on their treatment and regaining good health. True Surgical Partners accepts a wide range of insurance plans and various forms of payment, and will verify benefits prior to your appointment. Please call us at 214-345-8060 if you have any questions.
Pay a Bill
In order to use the payment portal to pay your bill, please have your statement and billing information readily accessible. For question or payments by phone, call us at 1-800-890-6034.
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