We are working today: 8:30-12:00 & 1:30-5:00 info@celinahealthwellness.com 972-382-3939 972-382-2211
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Patient Information

FOR AN APPOINTMENT, PLEASE CALL OUR OFFICE AT: 972-382-3939

What to Bring

Please bring the following to your appointment:

  • Insurance card.
  • Driver’s license
  • Name and phone number of emergency contact.
  • Any patient information forms or questionnaires that may have been sent to you for completion.
  • Record of past and current medication history, including nutritional supplements.
  • Any old medical records you may have in your possession. If you do not have your medical records, your physician will request pertinent records from your prior physician.
For New Patients

 

  • If you’re new to our clinic, please print out and complete our New Patient Form to bring with you for your first visit.
  • Also, please complete the following Medical Records Authorization Form
  • We’re currently accepting new patients and work with most insurance policies. To make sure we participate with your insurance plan, please contact your insurance company before scheduling an appointment.

 

For Physical

If you need a physical, please bring our athletic physical form with you.

For Flu Shots

Before getting your flu shot, please complete our flu shot questionnaire to bring with you.

Consent to Treat a Minor