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214-619-1910 214-619-1913
Mon - Fri: 8:00AM - 5:00PM
Monday – Friday8:00AM - 5:00PM
Saturday Open for MRI
Sunday Closed
Migraine treatment same day as your first appointment.
or
Visit our Healow Portal
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Lone Star Neurology forms

Forms

Patient Forms

-If you are a New Patient, please print or use our fillable form for the new patient paperwork.

-If you plan on doing any appointments virtually you will also need to fill the telemedicine consent form.

-if you are seeing us for an accident-related injury, you will need to complete our Injury Form.

Important: please make sure to press SUBMIT when filling online forms so that it gets sent to our office.

Fillable New Patient Form
Printable New Patient Form
To authorize a new facility to send us your medical records, please fill out the Medical Records Release Form
Fillable Medical Records Release
Printable Medical Records Release
If you would like to release your records or health information to a family member, guardian, or caretaker please fill out the Release of Medical Information.
Fillable Release of Medical Information
Printable Release of Medical Information
Fillable Tele consent
Printable Tele consent
Fillable Injury Form
Printable Injury Form
If you are a provider looking to refer a patient over to our office. Please see our Neuro Order Form with options for testing such as EEG, EMG, Imaging, and IV Infusion.
Fillable Neuro order Form

Physicians Forms

Patient referral: you may fax a referral to us at (214)619-1913
or you can call our office at (214) 619-1910.

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Working Time
Monday – Friday8:00AM - 5:00PM
Saturday Open for MRI
Sunday Closed
Migraine treatment same day as your first appointment.
Our Locations:
  • Allen
  • Carrollton
  • Dallas
  • Denton
  • Fort Worth
  • Frisco
  • Garland
  • Grapevine
  • McKinney
  • Richardson
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