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Patient Forms

Your time is as valuable to us as it is to you. That's why we provide online access to a variety of forms that patients may complete before their visit. The following documents will help us expedite the check-in process for your appointment. Please take a moment to download and print the appropriate form(s).

New PatientsExisting PatientsEndoscopy Centers
 New Patient Registration Form
 Pediatric Patient Forms
 Notice of Privacy Practices
 Dr. Luk's Update Form
 Central Park Endoscopy Center *
 Old Town Endoscopy Center *
 Redbird Square Endoscopy Center *
 Park Ventura Endoscopy Center *
 North Richland Hills Endoscopy Center *
     * - Denotes external site that opens in new window

Adobe Acrobat® Reader is required to view these files. If you do not have Adobe Acrobat® Reader, you can download it from Adobe's website.


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DHAT & DHM | 7610 N. Stemmons Freeway, Suite 500 | Dallas, TX 75247 | T - 214.689.5960