HealthPriorityMD

Monday - Thursday 8am to 5pm
Friday 8am - 12 noon

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972-498-8670

Fax: 972-498-8676
Email: info@healthprioritymd.com

NEW PATIENT REQUEST

Welcome to our website and thank you for contacting us about becoming a new patient to the practice. While new patients are accepted on a limited basis, we are happy to consider your request. Should we be able to accommodate your request, you will be contacted by us within 10 business days. No response from us within 10 business days reflects lack of availability to meet your request.

In order to be considered for acceptance, please provide the following information:

Name(Required)

First Last

Email(Required)

Name of physician or existing patient in the practice who referred you to our practice(Required)

Which physician are you requesting to see in our practice(Required)

Phone number(Required)

Date of Birth(Required)

Insurance information(Required)

Reason for visit(Required)

What date range would you prefer for scheduling your appointment(Required)

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HealthPriorityMD

Monday - Thursday 8am to 5pmFriday 8am - 12 noon

972-498-8670

NEW PATIENT REQUEST

Monday - Thursday 8am to 5pm
Friday 8am - 12 noon