Below are links to PDF downloads for the most common information & forms used at TCRS offices.
(If you have trouble downloading any information, please install Adobe Reader 9.0)
If you are a new patient, please make sure to print and sign both the New Patient Medical Registration Packet and the New Patient Financial and Privacy Consent Packet. Thank you.
New Patient Medical Registration Packet If you are a new patient, please download and fill out the medical forms above to bring with you to your appointment.
TCRS Privacy Policy Your privacy is important to us, please review the TCRS privacy practices that follow HIPAA regulations.
Accepted Insurance Carrier List TCRS participates with most major insurance companies, download the current list of carriers to see if yours is accepted.
Medical Records Request and Authorization to Release Form If you would like to request or release your medical records to or from a Texas Colon & Rectal Specialists office, please download authorization form and send to appropriate TCRS office.
Patient Satisfaction Survey Please share your experience with us by filling out this Patient Satisfaction Survey. We strive to exceed your expectations and your opinion matters to us!
Online forms may require that you download and install the latest version of Adobe Reader
11551 Forest Central Drive
Suite 133
Dallas, TX 75243