Your Frisco Family Doctor
Patient Forms PDF Print E-mail

 

Hillcrest Family Medicine welcomes our New Patients!

Before arriving at your first appointment with either Dr. Bhargava or Dr. Pepperell, please print the documents below & bring them completed to your appointment. Having these forms completed prior to arriving for your office visit helps to reduce your waiting time.

Additionally, please bring a copy of your Insurance card & a Photo ID.

Thank you!

Patient Forms:

  1. Patient Registration
  2. Authorization of Use and Disclosure
  3. Health History
  4. Medical Records Request Form
  5. Office and Financial Policy
  6. Permission To Treat Minor without Parent Present
  7. Medication List
  8. Notice of Privacy Practices
 

Monthly Updates

Spring allergy season has arrived.

According to the American Academy of Family Physicians, allergic rhinitis (allergies) affect 30% of adults & 40% of children. Symptoms may consist of a runny nose, congestion, sneezing, ear pressure, nonproductive cough, &/or itchy/watery eyes. If these symptoms are uncontrolled, please call our office to schedule an appointment to have your symptoms assessed by a physician.

Portal Login

You can use our Patient Portal by clicking here.

Most Popular

Contact Us

4500 Hillcrest Road, Suite 180
Frisco, TX 75035

(214) 619-5410 Office
(214) 619-5420 Fax

Frisco Doctor Open Early

Your Choice for Family Health Care in Frisco, TX.

  • Doctors start seeing patients in Frisco at 7am
  • Lunchtime Appointments are available too
  • Same Day Appointments & Walk-ins Welcome