Now accepting Telehealth appointments. Schedule a virtual visit.

Patient Forms


 

To save time during your first visit with us download and print the documents below. Then, bring them completed with you to your appointment, as well as your picture I.D. and insurance card.

Patient Information

Surgery Cancellation Policy

Medical Records Release to ASNTX.pdf

Financial and Privacy Policy

Medical History Questionnaire

ASNTX Privacy Policy

 

 

FMLA Forms

 

Hospitals

Dr. Duffy and Dr. Cottrell both perform procedures at multiple hospitals and surgery centers throughout North Texas. We will recommend the most appropriate facility for each patient based on their individual circumstances. Contact us at 972-439-3753 for further questions or to schedule an appointment.