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Your Medical Home
Clinicas Mi Doctor
MD Family Clinic
MD Kids Pediatrics
Patient's Full Name
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First Name
Last Name
Date of Birth
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Date Format: MM slash DD slash YYYY
Tentative Date of Appointment
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Date Format: MM slash DD slash YYYY
Tentative Hour of Appointment
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HH
MM
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PM
Telephone
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Email
Reason For Visit
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Reason For Visit
Sick
Sick (Follow-up)
Well-visit
Medication refill
COVID-19 Test
Flu Vaccine
Other
Medical Provider Name and Location (Clinicas)
*
Location You Prefer to Visit
Arlington - 941 E. Park Row
Bellaire - 5835 Bissonnet St.
Dallas - 5334 Ross Ave. Ste. 900 A
Dallas - 3247 Dawes Dr.
Dallas - 4438 W. Jefferson Blvd. Ste. 618
Dallas - 9753 Webb Chapel Rd. Ste. 900
Dallas - 2207 Gus Thomasson Rd.
Dallas - 6751 Abrams Rd., Ste. 108
Dallas - 8112 Spring Valley Rd.
Fort Worth - 4200 South Fwy. Ste. 106
Fort Worth - 229 N.E. 28th St.
Grand Prairie - 410 E. Pioneer Pkwy. Ste. 300
Houston - 6812 Harrisburg Blvd.
Houston - 5230 Aldine Mail Rt.
Houston - 10058 A Long Point Rd.
Houston - 8225 Broadway Blvd.
Houston - 5402 Airline Dr.
Irving - 506 S. Nursery Rd. Ste. 101
Lewisville - 701 S. Stemmons Fwy. Ste. 206
Plano - 1120 E. Parker Rd. Ste. 195
Medical Provider Name and Location (Clinicas)
*
Location You Prefer to Visit
Dallas - 8112 Spring Valley Rd.
Fort Worth - 4200 South Fwy. Ste. 106
Houston - 6812 Harrisburg Blvd.
Houston - 5230 Aldine Mail Rt.
Houston - 10058 A Long Point Rd.
Houston - 8225 Broadway Blvd.
Houston - 5402 Airline Dr.
Lewisville - 701 S. Stemmons Fwy. Ste. 206
Medical Provider Name and Location (Family)
*
Location You Prefer to Visit
Dallas - 9709 Bruton Rd.
Dallas - 9991 Marsh Ln. Ste. #100
Dallas - 2815 S Hampton Rd.
Dallas - 2959 S. Buckner Blvd. Ste. 700
Denton - 1306 Teasley Ln.
Fort Worth - 1200 Woodhaven Rd.
Garland - 2636 W Walnut St.
Irving - 1111 S Irving Heights Dr.
Medical Provider Name and Location (Family)
*
Location You Prefer to Visit
Dallas - 9709 Bruton Rd.
Dallas - 9991 Marsh Ln. Ste. #100
Fort Worth - 1200 Woodhaven Rd.
Garland - 2636 W Walnut St.
Irving - 1111 S Irving Heights Dr.
W Plano clinic
Medical Provider Name and Location (Kids)
*
Location You Prefer to Visit
Beaumont - 490 IH-10 North, Ste. 100
Carrollton - 3044 Old Denton Road Ste. 138
Cedar Hill - 294 Uptown Boulevard Ste. 120
Cypress - 20403 FM-529 Road Ste. 200
Dallas - 3434 W. Illinois Ave., Ste. 306-3
Dallas - 4351 DFW Turnpike Ste. 150
Dallas - 3200 S. Lancaster, Ste. 181
Dallas - 1401 S. Buckner, Ste. 139
Dallas - 2750 Northwest Hwy. Ste. 170
Dallas - 655 W. Illinois Ave. Ste. 916
Dallas - 3201 W. Saner Ave.
Dallas - 8330 Abrams, Ste. 112
Fort Worth - 800 8th Ave. Ste. 200
Garland - 455 N. Garland Ave.
Garland - 3050 S 1st St. Ste. 209
Houston - 6445 High Star Dr.
Houston - 1213 Hermann Dr. Ste. #670
Houston - 6812 Harrisburg Blvd.
Houston - 1410 Fry Rd.
Irving - 1111 W. Airport Fwy, Ste. 143
Lomaland - 1570 Lomaland Dr. Suite A
McKinney - 1720 N. Central Expy., Ste. 150
Park Plaza - 1213 Hermann Dr Suite #770
Plano - 7800 Preston Road, Ste. 300
Prosper - 321 North Preston Road, Ste. C
Richmond - 9115 FM 723 Rd., Suite 900
Northeast El Paso - 4659 Cohen Dr. Suite B
East El Paso - 1512 Zaragoza Ste 1-A
West El Paso - 181 Gus Rallis
Medical Provider Name and Location (Kids)
*
Location You Prefer to Visit
Beaumont - 490 IH-10 North, Ste. 100
Cypress - 20403 FM-529 Road Ste. 200
Dallas - 3201 W. Saner Ave.
Houston - 6812 Harrisburg Blvd.
Lomaland - 1570 Lomaland Dr. Suite A
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