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  • For Patients
    • About Your Surgery
    • Community Health Needs Assessment
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    • Financial Assistance
    • Good Faith Estimate & Surprise Medical Bills
    • Hospital Pricing Information
    • Información en Español
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      • Nondiscrimination Notice
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      • Su Privacidad
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      • Your Rights and Responsibilities
      • Privacy Policy
  • Physicians
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      • Studycast Web Portal
      • Studycast Help
  • Specialties
    • Advanced Robotic Surgery
    • Bariatrics
    • Direct Screen Colonoscopy
    • Gastroenterology
    • General Surgery
    • Gynecology
    • Heart and Vascular
    • Imaging
    • Laboratory Services
    • Ophthalmology
    • Orthopedics
    • Otolaryngology (ENT)
    • Pain Management
    • Plastic Surgery
    • Podiatry
    • Spine
    • Sports Medicine
    • Surgical Oncology
    • Urology
  • About
    • Careers
    • Our Awards
      • Nominate a Nurse for a DAISY Award
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Contact Us

Patient Forms

Please see below for various patient forms and give us a call for any questions at 903-870-0999.

Pre Surgical Form

  • Personal Medication Record

Imaging

  • Radiology Scheduling Form
  • RAD 1055b Multihance Documentation for Patients
  • RAD 1013a PATIENT INFORMATION SHEET FOR IV CONTRAST
  • RAD 1013b CONTRAST MEDIA AUTHORIZATION FORM
  • RAD 1053a MRI SCREENING AND CONSENT FORM
  • Radiology Order Template November 2020

Discharge Information

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Financial Assistance

  • Financial Assistance Form
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Get In Touch
  • Open 7 Days a Week
    24 Hours a Day
  • Phone: 903.870.0999
  • 3601 N Calais Street, Sherman, TX 75090

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