214-553-5543 afcarehealth@gmail.com

patient forms

Please print out the patient forms that are listed below in this page and fill in the blanks with the requested information and bring them with you when you come in, or just walk in and we will give you the forms so you can provide the initial registration information. All patient information is retained and treated confidential in compliance with Federal HIPPA regulations.

ABOUT HEALTHCARE

A family Nurse Practitioner is board certified advanced practice nurse that is clinically trained in providing primary care including physical exams, diagnose of medical acute and chronic conditions with focus on wellness and prevention, lab order and prescribe medications in collaboration with medical physician and other specialist.

OPEN 5 DAYS A WEEK!

Monday-Friday ------------- 9 AM-5 PM
Saturday -------------- 10 AM-2 PM
Sunday ---------------- Closed

Open in first and third Saturday of the month.

Appointments Available
Walk-In's Welcome

REACH US

ADDRESS

3100 Independence Pkwy, Ste# 103A

PLANO, TX 75075

PHONE NUMBER

214-553-5543

EMAIL

afcarehealth@gmail.com

ABOUT HEALTHCARE

A family Nurse Practitioner is board certified advanced practice nurse that is clinically trained in providing primary care including physical exams, diagnose of medical acute and chronic conditions with focus on wellness and prevention, lab order and prescribe medications in collaboration with medical physician and other specialist.

OPEN 5 DAYS A WEEK!

Monday-Friday ------------- 9 AM-5 PM
Saturday -------------- 10 AM-2 PM
Sunday ---------------- Closed

Open in first and third Saturday of the month.

Appointments Available
Walk-In's Welcome

REACH US

ADDRESS

3100 Independence Pkwy, Ste# 103A

PLANO, TX 75075

PHONE NUMBER

214-553-5543

EMAIL

afcarehealth@gmail.com