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Dr. Kathryn E. White
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Weight Loss Programs
Patient Forms
Services
About
Contact
"
Where Women's Health Begins
"
Kathryn E White MD
2840 Legacy Drive
Suite 200
Frisco
,
TX
75034
Ph:
972-294-6992
Fax
:
972-294-6988
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Thursday
9
February
Patient Forms
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Patient Forms
NEW PATIENT FORMS:
New Patient Questionaire
(13.84 KB)
Patient Demographics
(282.66 KB)
ADDITIONAL FORMS:
Annual Health Update
(15.74 KB)
Patient Demographics
(282.66 KB)
Patient Office Policy
(74.4 KB)
Patient Financial Policy
(33.5 KB)
Notice of Privacy Practices
(83.86 KB)
Consent of Minor
(70.61 KB)
Gardasil Consent
(57.75 KB)
HALO patient information sheet
(236.92 KB)
HALO consent
(60.97 KB)
HPV PAP Consent
(85.96 KB)
e-MDs 6.2.0 Patient Portal User Guide
(1.47 MB)
Medical Records Release
(72.29 KB)
Patient Portal User Agreement
(34 KB)