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  • 972-867-7777
North Texas Eye Center

North Texas Eye Center

  • Home
  • Services
    • Routine Eye Health
      • Routine Eye Exam
      • SOFT Contact Lens Cleaning
      • HARD Contact Lens Cleaning
    • Medical Eye Care
      • Blepharitis
      • Diabetes
      • Dry Eye
      • Eye Drop Application
      • Floaters and Flashes
      • Glaucoma
      • Macular Degeneration
      • Rosacea
      • Recurrent Erosions
      • Stye and Chalazion
    • Surgical Eye Care
      • Cataracts
  • Our Team
    • Lewis Jacob Frazee, M.D.
    • Ellen Ngo, M.D.
    • Gina Pham, M.D.
    • Aimee Morris
    • Skye Johnson
  • Our Locations
    • Plano
    • Lewisville
    • La Lunette: The Optical Company
  • Patient Forms
    • New Patient Packet
    • Paquete de nuevo paciente
    • Designated Individuals Release Form
    • nondiscriminatory policy
    • Release of Records
    • Credit Card Authorization
    • ACH Authorization Form
  • Clinic Policies
    • APPOINTMENTS
    • CANCELLATIONS
    • PRESCRIPTION REFILLS
    • AFTER-HOURS CARE
    • PHONE CALLS
    • FINANCIAL POLICY
    • MEDICAL RECORDS
  • Patient Portal

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Home
Patient Forms

Patient Forms

New Patient Packet
Paquete de Nuevo Paciente
Designated Individuals Release Form
Nondiscriminatory Policy
Credit Card Authorization
ACH Preauthorization Form
Medical Records Release

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Plano Location

4100 W 15th Street
Suite 210
Plano, TX 75093

972-867-7777
Clinic Hours
Monday - Friday 8 am - 5 pm
Saturday 8 am - 12 pm

Clinic Fax
972-519-1679

Lewisville Location

751 Hebron Pkwy
Suite 230
Lewisville, Texas 75057

972-867-7777
Clinic Hours
Monday - Friday 8 am - 5 pm

Clinic Fax
972-519-1679
  • Home
  • Services
  • Our Team
  • Our Locations
  • Patient Forms
  • Clinic Policies
  • Patient Portal
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