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  • Home
  • For Patients
    • Pre-Op Classes Online
      • Total Spine Pre-Op Class Online
      • Total Joint Pre-Op Class Online
    • Cafeteria & Dietary
    • Documents & Forms
    • Online Concierge
    • Patient Portals
    • Patient Registration Form
    • Pay Bill Online
    • Spiritual Support
    • About Your Surgery
    • Other
      • Accessibility Statement
      • Good Faith Estimate & Surprise Medical Bills
      • Hospital Pricing Information
      • Información en Español
      • Notice of Non-Discrimination
      • Privacy Policy
      • Quality Care and Safety
      • Social Media Terms of Use
      • Website Terms and Conditions
      • Su Privacidad
      • Website Privacy Policy
  • Physicians
  • Specialties
    • 24/7 Emergency Department
    • Advanced Robotic Surgery System
    • Bariatrics
    • General Surgery
    • Imaging & Diagnostics
    • Orthopedic Surgery
    • Otolaryngology (ENT)
    • Pain Management
    • Plastic and Reconstructive Surgery
    • Spine Surgery
    • Surgical Oncology
    • Total Joint Replacement Center
  • About
    • Our Awards
    • Employment Opportunities
    • Patient Recommendations
Contact Us

Documents & Forms

Please see below for various patient forms and give us a call for any questions at (214) 443-3000.

Patient Forms:

  • Patient Registration (english)
  • Patient Registration (Sp)
  • Personal Health Information (PHI) Release Form (Eng)
  • Release of Information (Eng)
  • Advance Directive Form (Eng)

Patient Resources:

Community Health Needs Assessments

  • Pre-Operative Checklist
  • Disclosure of Physician Ownership
  • Emergency Medical Care Policy
  • Fall Prevention Guidelines
  • Speak Up Brochure
  • Welcome Booklet
  • BMCU Partnership by Specialty

Radiology Patient Forms:

Digital X-Ray

(english)
(spanish)

CT (Computed Tomography)

(english)
(spanish)

MRI (Magnetic Resonance Imaging)

(english)
(spanish)

Ultrasound

(english)
(spanish)

Arthrograms

(english)
(spanish)

Download Imaging Order Form

(english)

Billing and Finance:

  • Billing Information
  • Financial Assistance Documents
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Get In Touch
  • Open 7 Days a Week / 24 Hours a Day
  • Phone: (214) 443-3000
  • 2727 Lemmon Ave Dallas, TX 75204

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