To ensure that your visit to our office is as convenient and efficient as possible, we are pleased to offer our HIPAA and Patient Registration forms on-line. These forms may be printed, filled out manually, and brought with you to your first visit.

 

Downloadable Forms

Advance Directive

Authorization for Release of Information from Dallas Diagnostic Association

Authorization for Release of Information to Dallas Diagnostic Association

Comprehensive Evaluation Form - Geriatrics

 Consent to Treat - DDA Park Cities

 Consent to Treat - DDA Plano

 Declaration for Mental Health Treatment

 Dermatology - For DDA Garland patients Only

 Do Not Resuscitate Order

Health History Questionnaire - Dermatology (For DDA-Plano only)

Health History Questionnaire - Dermatology, Dr. Christy Riddle

Health History Questionnaire - Endocrinology

Health History Questionnaire - GI

Health History Questionnaire - Internal Medicine

Health History Questionnaire - Neurology

Health History Questionnaire - Pulmonary

Health History Questionnaire - Rheumatology

Medical Power of Attorney

Medicare Wellness Visit

 New Patient Packet

 New Patient Packet - Spanish

 Radiology - CT Patient Information Form

Radiology - MRI Abdomen Questionnaire

 Radiology - MRI Head Questionnaire

 Radiology - MRI Musculoskeletal & TMJ Questionnaire

 Radiology - MRI Patient Screening Form

 Radiology - MRI Spine Questionnaire

 Radiology - Osteoporsis Questionnaire

 Radiology - Patient Information for Diabetics Taking Glucophage/Metformin

 Radiology Contrast History Form 1

 Radiology Contrast History Form 2

 Radiology Contrast History Form 3

Uniform Donor Form