Personalized Women's healthcare Vitamed

Current Patients:

Click to log in to online patient services
3108 Midway Rd, Ste 201
Plano, Texas 75093

Monday - Thursday
8:30am - 12pm & 1pm - 4:30pm

Friday
8:30am - 12pm

Phone: (972) 473-2020
Fax: (972) 473-2077
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Patient Forms


NOTE: Please bring a photo ID and current insurance card to all appointments along with any forms that you printed and filled out.

Step 1: Fill Out Patient Registration Forms

Option A: Complete Forms Online

Enter your patient/insurance information directly into our practice management computer:

128-bit SSL connection Fill out patient forms online using secure connection
Note: Fill out patient & insurance info only - not medical history

Option B: Print, Complete, and Bring to Office

If you prefer to print out and fill in the forms by hand, they are available below.

Requires Free Adobe Acrobat Reader Download and Print Patient Forms (8 pages)
Note: Print, fill out, bring to your first appointment


Step 2: Print & Sign Health Disclosure Form

Requires Free Adobe Acrobat Reader Print Health Info Consent/Disclosure Form (1 page)
Note: Print, fill out, bring to your first appointment

Free Adobe Acrobat Reader

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