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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
      • SightSelector Videos
      • SightSelector español
      • Cataract Short Video Series
  • Our Team
    • Lewis Jacob Frazee, M.D.
    • Ellen Ngo, M.D.
    • James A. Passmore, M.D.
    • Amy Cao
    • 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 from NTEC
    • Release of Records to NTEC
    • 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 to NTEC
Medical Records Release from NTEC

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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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