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  • About Us
    • About Dr. Grisham
    • Our Difference
    • Patient Forms
    • Patient Reviews
    • The Grisham Center
  • Services
    • Obstetrics
    • Gynecology
    • Bladder Dysfunction
    • Pelvic Organ Prolapse
    • Infertility
    • Menopausal Medicine
    • Labiaplasty
  • Location & Contact
    • Our Location
    • Contact/ Appointments
  • Blog
  • Feedback
 

Patient Forms

Authorization for Release of Medical Information (PDF) – Allows patients to authorize the disclosure of their health information to a designated individual, company, agency, or facility.

Authorization and Consent for Treatment (PDF) – All patients must provide their consent for treatment, communications (calls, emails, and text messaging), and agreement of financial responsibility. Autorización y Consentimiento Para el Tratamiento

Preferred Contacts (PDF) – Patients are encouraged to complete and return the Preferred Contacts Form but it is not required. Contactos Preferidos

Virtual Visit Policy (PDF) – This policy describes the process for the documentation, maintenance, and transmission of information using virtual visit technology.

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    Plano, TX 75093
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