Appointment Details

Steven Melcher, MD profile photo
Family Medicine
Location: Lone Star Medical Group - Family Care
Jan
17
Thursday

January 17, 2019
8:00 AM

Notes

Thank you for choosing Dr. Steven Melcher with Lone Star Medical Group, for your medical needs.

If you are unable to find a desired time, need to reschedule an appointment, have insurance & billing questions or would like to register for the Patient Portal in order to send messages straight to the medical staff and access your clinical data please contact the office at 817-489-7300 and we will be happy to assist you.

All Patients, Please bring the following items:

· A list of current medications
· Insurance card(s) and a Photo ID to each visit
· Your email appointment confirmation
· Recent X-Ray or MRI CD with reports
· Records related to your condition.

Established Patients whose last Appointment was prior to October 1st, 2017 will need to completed the paperwork below and bring to the scheduled appointment.

English Forms

· New Patient Packet
· Patient HIPAA Acknowledgement and Consent
· Patient Rights & Responsibilities
· Notice of Privacy Practices (provided for you at your first visit)

Spanish Forms

· Nuevos Formas de Paciente
· Formulario de Acuse de Recibo y Consentimento de HIPAA para el Paciente
· Derechos y Responsabilidades del Paciente
· Aviso Sobre Las Practicas De Privacidad

Please call our office if you have any questions.

New Patients: - Please contact our office to schedule an appointment.

Thank you again, and we look forward to seeing you!

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Review Your Information

Steven Melcher, MD profile photo
Family Medicine
Location: Lone Star Medical Group - Family Care
Jan
17
Thursday

January 17, 2019
8:00 AM

Notes

Thank you for choosing Dr. Steven Melcher with Lone Star Medical Group, for your medical needs.

If you are unable to find a desired time, need to reschedule an appointment, have insurance & billing questions or would like to register for the Patient Portal in order to send messages straight to the medical staff and access your clinical data please contact the office at 817-489-7300 and we will be happy to assist you.

All Patients, Please bring the following items:

· A list of current medications
· Insurance card(s) and a Photo ID to each visit
· Your email appointment confirmation
· Recent X-Ray or MRI CD with reports
· Records related to your condition.

Established Patients whose last Appointment was prior to October 1st, 2017 will need to completed the paperwork below and bring to the scheduled appointment.

English Forms

· New Patient Packet
· Patient HIPAA Acknowledgement and Consent
· Patient Rights & Responsibilities
· Notice of Privacy Practices (provided for you at your first visit)

Spanish Forms

· Nuevos Formas de Paciente
· Formulario de Acuse de Recibo y Consentimento de HIPAA para el Paciente
· Derechos y Responsabilidades del Paciente
· Aviso Sobre Las Practicas De Privacidad

Please call our office if you have any questions.

New Patients: - Please contact our office to schedule an appointment.

Thank you again, and we look forward to seeing you!

Patient Details