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New Patient Packets

Below are the new patient packets as well as a list of what to bring to the first appointment. If you have any questions please call the office at 806-576-1095.

Kids Playing Tug of War

Pediatric Age 0-17

  • Parent/Gaurdian ID

  • Insurance

  • Shot/Vaccination Records

  • Medication List

Kids Playing Tug of War
Children in Indoor Playground

Foster Pediatric Packet

  • CPS Placement Paperwork

  • Medical Consenter Paperwork

  • Insurance

  • Shot/Vaccination Record

Adult Packet 18+

  • ID

  • Insurance

  • Shot/Vaccination Records

  • Medication List

Open Air Cinema
Moon Clouds

ASK ABOUT OUR AFTER HOUR APPOINTMENTS

receptionist@allegiancecaretexas.com
No personal information (including email, mobile number, etc) will be shared with third parties/affiliates for marketing or promotional purposes.

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