8589_41818L_JPG.jpg

Policies and Forms

Home
Our Services
Dr. Kumar
Our Staff
Insurance and Hospital information
Policies and Forms
Pediatrics in the News
Education and Resource websites
Kids Korner
FAQs
Would you like more information?

Please click on the forms below to download and complete. Please bring your completed forms to your initial visit

New Patient Registration form .docfile

New Patient Registration form MHTML

New Patient HIPPA and Authorization form .docfile

New Patient HIPPA and Authorization form MHTML

Release of Records from OTHER PHYSICIAN/S .docfile

Release of Records from OTHER PHYSICIAN/S MHTL

Release of Records from OUR OFFICE .docfile

Release of Records from OUR OFFICE MHTML

HIPPA and Privacy Practices policy

Office payment Policy

Office Appointment policy

Special Care for Special People

Dr. Kumar's Office
8501 Wade Blvd, Suite 140
Frisco, TX 75034
Phone: 214.705.9696
Facsimile: 214.705.9697

Thanks for visiting our site!

Powered by Register.com