Co-Management Consent | Carter Eye Center Dallas, TX

Co-Management Consent

 

Will you be co-managing the patient? If so, please complete the form, sign, and submit.

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4633 N. Central Expy.
Suite 300
Dallas, TX 75205

214-750-1962
Please do not include personal identifying information such as your birth date, or personal medical information in any emails you send to us. No one can diagnose your condition from email or other written communications, and communication via our website cannot replace the relationship you have with a physician or another healthcare practitioner.
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214-750-1962