Skip to content
  • 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
      • Recurrent Erosions
      • Stye and Chalazion
    • Surgical Eye Care
      • Cataracts
      • Sight Selector Videos
  • 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
    • HIPAA Release Form
    • hipaa privacy complaint form
    • nondiscriminatory policy
    • Financial Policy
    • Release of Records from NTEC
    • Release of Records to NTEC
    • Credit Card Authorization
    • ACH Authorization Form
    • No Show Policy
    • Refraction Fees
  • Clinic Policies
    • APPOINTMENTS
    • CANCELLATIONS
    • PRESCRIPTION REFILLS
    • AFTER-HOURS CARE
    • PHONE CALLS
    • FINANCIAL POLICY
    • MEDICAL RECORDS
  • Patient Portal

Website Breadcrumbs

Home
Patient Forms

Patient Forms

new-patient-packet-2020Download
paquete de nuevo pacienteDownload
hipaa-release-formDownload
designated_individuals_release_formDownload
hipaa.privacy.complaint.form_Download
no-show-policyDownload
Financial-PolicyDownload
nondiscriminatory-policyDownload
medical-records-released-to-ntecDownload
medical-records-released-from-ntecDownload
credit-card-authorizationDownload
ach-preauthorization-formDownload
refraction-feesDownload

Share this:

  • Twitter
  • Facebook

Like this:

Like Loading...

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
Website Powered by WordPress.com.
%d bloggers like this: