Patient Forms

 

We understand you want to have your office visit run as smoothly as possible. We do, too! 

 

To help facilitate this process, we have provided our patient forms online for you to download and complete before your visit.

 

Simply click on the link below to download and print. Complete and bring the forms to your appointment. In order to protect your privacy, please do NOT e-mail these forms.

New Patient Registration Form

Patient Acknowledgement Form Regarding the Use of a Physician Assistant

Health History Form

Medical Release of Information

Notice of Privacy Practices

MyChart

God bless & heal you! 

J. Mark Pool, MD

ABTS Board-certified

214-692-6135

Member of Society of Thoracic Surgeons