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Little Elm-Frisco Children's Clinic

Pediatric Care You Can Count On

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Patient Forms

For your convenience, you can download the PDF forms below, print and fill them out and bring them to our office with you.

The following forms must be completed for each patient that will see the physician.

  • New Patient Registration
  • Initial Patient History Questionnaire
  • Information Release Authorization
  • HIPPA Acknowledgement, Insurance & Info Release, Authorization to Treat a Minor
  • Texas Department of State Health Services – Texas Immunization Registry

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