Patient Forms

PATIENT FORMS

* Please follow instructions carefully and choose forms appropriate to your visit.*

STEP 1. Agreement

STEP 2. Download the Appropriate Form that Corresponds to Your Visit on Your PC or Tablet

STEP 3. Complete Forms

STEP 4. Print Completed Forms or Upload Below

upload

Adult Patient Information
Download File

adult_medical_history_form.pdf
Download File

Family Medicine Registration Form

Services

Well Child Exams
Annual Checkups
Sick Visits
Pediatric Care
Asthma
Eczema
Wart Treatment
Newborn Care
Urinary Tract Infection
Ear Infection
Family Planning
Acute Care
Diabetes
Chronic Conditions
Ear Wax Removal
Early Development Screenings

Location

Raintree Healthcare
919 Medical Drive
Allen, TX 75013
Phone: 214-644-0280
Fax: 214-644-0294

Office Hours

Monday 8:00 am - 5:00 pm Tuesday 8:00 am - 5:00 pm Wednesday 8:00 am - 5:00 pm Thursday 8:00 am - 5:00 pm Friday 8:00 am - 5:00 pm Saturday Closed Sunday Closed

Get in touch

214-644-0280