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Patient Forms
At Texas Health Heart & Lung Surgical Specialists, we understand you want to have your office visit run as smoothly as possible. To help facilitate this process, we have provided our new patient forms here for you to download and complete before your first visit.
Simply click on the links below to download. Print, complete, and bring the forms to your appointment. In order to protect your privacy, please do not e-mail forms.
- New Patient Registration Form: English | Español
- Consent to Treat: English | Español
- Patient Acknowledgement Form Regarding the Use of a Physician Assistant: English | Español
- Health History Form: English | Español
- Medical Release of Information: English | Español
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Pay a Bill
In order to use the payment portal to pay your bill, please have your statement and billing information readily accessible. For question or payments by phone, call us at 800-890-6034.
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Insurance Information
Texas Health Heart & Lung Surgical Specialists accepts a wide range of insurance plans and various forms of payment and will verify benefits prior to your appointment. We believe in making it easy for our patients to focus on their treatment and regaining good health. Please call us at 214-692-6135 if you have any questions.
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In the News
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Patient Testimonials
Luis Lara
Watch Cecil's plan in action.
Watch how Texas Health Physician's Group patient Cecil Sellers worked with his longtime specialist to develop a plan that increased his blood flow, and got him back into rhythm.
Typical Summer Day Becomes Anything But Typical
A summer day in North Texas can leave anyone feeling a bit over-heated. But as Michael Exum prepared to mow his lawn one September afternoon, he knew the excessive sweating and lightheadedness he was experiencing weren’t quite normal...
Dangerous Operation Required to Save Teen's Life
Sometimes, life-threatening medical emergencies can come out of nowhere. Just ask 18-year-old Hannah Martindale of Flower Mound.
Believe
A Christmas miracle? Possibly. Whitney Davis was rushed to the hospital in December 2012 with a torn aorta. An otherwise lethal situation turned into one of hope.
Boss's Tip Saves Employee's Life
A Texas man noticed his employee was looking and acting differently, so he sent him to the doctor. That visit to Dr. Mark Pool ended up saving Mike Bell’s life.
Short of Breath, but Not Short on Faith
When Steve Gurley nearly passed out while walking up six flights of stairs, he knew something serious was going on.
Texas Health Dallas uses TEVAR procedure to save local pastor’s life
Ralph Gourley shares personal testimony after successful aortic repair procedure
At Texas Health Heart & Lung Surgical Specialists, we understand you want to have your office visit run as smoothly as possible. To help facilitate this process, we have provided our new patient forms here for you to download and complete before your first visit.