Pre-registration and surgery forms

Prior to your child's surgery, please read each of these forms and submit confirmation prior to arriving at the facility. If you have questions about this information, please call us at 972-300-0215. If you do not have access to the Internet, please contact our office and we will email or fax this information to you.

• Pre-operative patient history
• Patient bill of rights
• Privacy notice | Notificación de privacidad
• Advanced directives
• Physician ownership disclosure

If you need us to release your child’s medical information to a third party, please print, complete and mail the Release of Medical Information Request form with your picture identification to: