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Alisa K. Ward, MD, PA fax number

(214) 618-3208

Obstetrics & Gynecology

Used for: New patient packet submission and medical records authorization; established well woman packet processing; ongoing patient communications with the clinic (e.g., appointment information).

Fax destination details

Department
Obstetrics & Gynecology
Purpose
New patient packet submission and medical records authorization; established well woman packet processing; ongoing patient communications with the clinic (e.g., appointment information).
Form
New Patient Packet; Established Well Woman Packet; Medical Records Authorization — New Patient Packet; Established Well Woman Packet; Medical Records Authorization
Address
3880 Parkwood Boulevard, Suite 403, Frisco, TX 75034
Voice phone
214-618-2802

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Instructions: 1. Download the form. 2. Completely fill out the form. 3. Sign the form. 4. Fax the form to (214) 618-3208.

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