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Patient Forms

Online Patient Info Form

Conveniently fill your new patient forms online. Please follow both links below to fill out each form.

  • New Patient Info » 
  • New Patient History » 

Downloadable Forms

Download all of our patient forms below. Simply click on one to download.

  • New Patient Info
  • Medical Records Request
  • Pre Op Instructions
  • Pre Op Instructions – Spanish

Insurance Providers

 

Board Certified Eye Physician and Surgeon - Specialist in Retina and Vitreous • Glaucoma • Diabetic Retinopathy; Ocular Trauma

© 2019 Shashi Dharma, M.D., F.A.C.S

6500 Sierra Drive, Suite 170
Irving, Texas 75039
P 972-331-1590
F 972-331-1599

3504 Corinth Parkway, Suite 140
Corinth, Texas 76208
P 940-269-4230
F 940-269-4229