Forms To Complete Prior to Your Office Visit


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5445 La Sierra Drive  
Suite 102  
Dallas,  TX  75231  
drstephenrodrigues@msn.com  

 



Forms To Complete Prior to Your Office Visit

Click on the links below to view and print the following forms.

Patient Information Form

Health History Review - Comprehensive

Financial Policy:

http://superpageshosting.com/drstephenrodriguescom/nss-folder/folder/Dr_Stephen_Rodrigues_ONLINE_2008_Financial_Policy.pdf

Wellness Program:

https://docs.google.com/Doc?docid=0AeK77GXBgV9IZGhzcmc1bV80NGQ0YnJ3cWdn&hl=en&authkey=CNK7i-AM

 


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Stephen S. Rodrigues, MD
5445 La Sierra Drive, Suite #102
Dallas, Texas 75231
Phone: 214.572.0333
Fax: 214.572.0328



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