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Baylor Scott & White Medical Center – Uptown
Baylor Scott & White Medical Center – Uptown
Baylor Scott & White Medical Center – UptownBaylor Scott & White Medical Center – Uptown
  • Patients
    • Cafeteria & Dietary
    • Documents and Forms
    • Online Concierge
    • Patient Portal (Existing Patients)
    • Patient Portal (New Patients)
    • Patient Registration Form
    • Payments
    • Spiritual Support
    • Surgery FAQs
    • Other
      • Accessibility Statement
      • COVID Updates
      • Good Faith Estimate
      • Hospital Pricing Information
      • Información en Español
      • Non-Discrimination Notice
      • Patient Rights & Responsibilities
      • Privacy Policy
      • Quality Care and Safety
      • Social Media Terms of Use
      • Terms of Use
      • Your Privacy
      • Su Privacidad
      • Surprise Medical Bills
  • Physicians
  • Specialties
    • 24/7 Emergency Department
    • Advanced Robotic Surgery System
    • Bariatrics
    • General Surgery
    • Imaging and Diagnostics
    • Ophthalmology
    • Orthopedic Surgery
    • Otolaryngology (ENT)
    • Pain Management
    • Plastic and Reconstructive Surgery
    • Spine Surgery
    • Surgical Oncology
    • Total Joint Replacement Center
  • About
    • Awards
    • Employment Opportunities
    • Patient Recommendations
  • Contact
    • Location

New Patient PortalExisting Patient Portal

  • Patients
    • Cafeteria & Dietary
    • Documents and Forms
    • Online Concierge
    • Patient Portal (Existing Patients)
    • Patient Portal (New Patients)
    • Patient Registration Form
    • Payments
    • Spiritual Support
    • Surgery FAQs
    • Other
      • Accessibility Statement
      • COVID Updates
      • Good Faith Estimate
      • Hospital Pricing Information
      • Información en Español
      • Non-Discrimination Notice
      • Patient Rights & Responsibilities
      • Privacy Policy
      • Quality Care and Safety
      • Social Media Terms of Use
      • Terms of Use
      • Your Privacy
      • Su Privacidad
      • Surprise Medical Bills
  • Physicians
  • Specialties
    • 24/7 Emergency Department
    • Advanced Robotic Surgery System
    • Bariatrics
    • General Surgery
    • Imaging and Diagnostics
    • Ophthalmology
    • Orthopedic Surgery
    • Otolaryngology (ENT)
    • Pain Management
    • Plastic and Reconstructive Surgery
    • Spine Surgery
    • Surgical Oncology
    • Total Joint Replacement Center
  • About
    • Awards
    • Employment Opportunities
    • Patient Recommendations
  • Contact
    • Location

Documents and Forms

Documents and Forms

Patient Forms:

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

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)

Patient Resources:

Community Health Needs Assessments

  • Pre-Admission Testing Information
  • Pre-Operative Checklist
  • Disclosure of Physician Ownership
  • Emergency Medical Care Policy
  • Fall Prevention Guidelines
  • Patient Rights
  • Pre-Surgery Information
  • Privacy Notice (English)
  • Privacy Notice (Spanish)
  • Speak Up Brochure
  • Welcome Booklet
  • 2020 BMCY Partnership by Specialty

Billing and Finance:

  • Billing Information
  • Financial Assistance Documents
© 2021 Baylor Scott & White Medical Center – Uptown. All rights reserved.
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