Fill out our registration form to bypass the waiting room on the day of your appointment! If you have any questions, call us at 806-780-4911.
Filling out this form this allows our staff to provide pre-registration as well as shorter waiting times! The information you provide us with will help to create a customized visit that will suit your needs. Your information will always remain confidential.
PLEASE NOTE: Any information in the following form that you elect not to provide must be provided on the date of your appointment. Not providing information before your appointment will increase check-in time as this information will have to be put into our system upon arrival. Our office staff will review your pre-appointment registration information and let you know what we lack when you arrive.
If you have any questions about the form, please don’t hesitate to call us at 806-780-4911.
* = Required Fields