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Patient Forms
 

READY TO CONNECT?

 

Effective Monday, March 31st, 2025, our clinic will be offering a limited pharmacy selection to meet FDA and federal guidelines while supporting local small pharmaceutical businesses. This ensures safe, compliant care and strengthens our community.

 

 

Before your first appointment, we may request that you complete certain forms to help us provide you with the best possible care. Our patient forms are designed to gather important information about your medical history, ensure your privacy and streamline your experience.

Patient Registration

 

To get started, please complete our Patient Registration form. This form includes sections for personal details such as your medical history, allergies and medications. By providing us with accurate and up-to-date information, you help us tailor our care to your specific needs.

HIPAA Privacy Notice

 

Additionally, we have included a HIPAA Privacy Notice, which explains how we protect your confidential health information in accordance with the Health Insurance Portability and Accountability Act (HIPAA). Your privacy is important to us, and this notice outlines your rights and our responsibilities when handling your protected health information.

Waiver Forms

 

For certain procedures or treatments, we may require you to sign a Waiver form. This ensures that you have a clear understanding of the specific interventions involved, including any risks, benefits, alternatives, limitations and potential complications. By signing these waivers, you acknowledge your willingness to actively participate in the decision-making process and take responsibility for the choices you make regarding your healthcare.

All Terms & Conditions

 

Our Terms and Conditions form provides important information outlining the terms and conditions that govern your use of our services and website. By accessing or using these services, you agree to comply with these terms and conditions. We encourage you to read this document to understand your rights and responsibilities as our patient.

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Contact Us

 

Express Health Systems accepts walk-ins at our Tyler and Plano, Texas, clinics. You can also schedule a virtual appointment through our online platform to start your wellness journey from the comfort of your own home.

 

To get started, visit us at either location Monday through Saturday from 8 A.M. to 5 P.M., no appointment necessary.

Telemedicine visits are available by appointment only Monday through Saturday from 8 A.M. to 10 P.M.

 

or call us at (903) 592-5670 or 

(469) 786-1751 today!

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