Texas Neurology Consultants, LLP Daniel, J. Hopson, MD, PA Paul W. Hurd, MD, PA Shari Rosen-Schmidt, MD, PA Charisse Hills Barta, MD, PA Board Certified Neurologists Patient Forms You can download and print the forms you need for your appointment using the links below. Please bring the completed forms to your appointment. These are PDF documents that require Adobe Reader to open them. [PDF Help] Patient Information Form (1 page) * This form must be completed anytime your personal information has changed. It is also required anytime you have not been seen in our office for longer than six months. Patient History Form (3 pages) Assignment Benefits/Consent to Treat (1 page) Notice of Cancellations Policy (1 page) Acknowledgement of Notice of HIPAA Policies (1 page) HIPAA Policies (2 pages) Perfume Notice (1 page)

	Texas Neurology Consultants, LLP Daniel J. Hopson, M.D., P.A. Paul W. Hurd, M.D., P.A. Shari Rosen-Schmidt, M.D., P.A. Charisse Hills Barta, M.D., P.A. 6124 West Parker Road, Suite 336 Medical Office Building 3 Plano, TX 75093 Tel: 972.403.3100 Fax: 972.403.3105 VIEW MAP
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