16 hours ago PATIENT REGISTRATION FORM ... By signing below, I (the Patient or Legal Representative), provide my consent to allow Bayless Integrated Healthcare and its Partners/Business Associates to leave information related to services provided to the Patient named above via the preferred Primary Communication Preference as marked above. In granting this >> Go To The Portal
PATIENT REGISTRATION FORM ... By signing below, I (the Patient or Legal Representative), provide my consent to allow Bayless Integrated Healthcare and its Partners/Business Associates to leave information related to services provided to the Patient named above via the preferred Primary Communication Preference as marked above. In granting this
PATIENT REGISTRATION FORM ... By signing below, I (the Patient or Legal Representative), provide my consent to allow Bayless Integrated Healthcare and its Partners/Business Associates to leave information related to services provided to the Patient named above via the preferred Primary Communication Preference as marked above. In granting this
PATIENT REGISTRATION FORM ... By signing below, I (the Patient or Legal Representative), provide my consent to allow Bayless Integrated Healthcare and its Partners/Business Associates to leave information related to services provided to the Patient named above via the preferred Primary Communication Preference as marked above. In granting this
Complete Patient Forms Online Speed up the check-in process at Bayless Integrated Healthcare by completing your medical forms in advance of your appointment. It’s easy and more accurate, and you can keep personal copies of the forms for your own records. Instructions: Simply click on the link below to access the PDF form.
If you believe your privacy rights have been violated, you may file a complaint with our office or with the Secretary of the Department of Health and Human Services. To file a complaint with our office, it must be made in writing, and mailed to Precision Orthopedics & Sports Medicine, Attn: Administration, 2120 N. MacArthur Blvd., Suite 100, Irving, TX 75061.
Prescriptions will only be written and refilled from Monday through Friday 8:00 am to 4:30 PM. No prescriptions will be written or called in after these hours or on holidays and weekends. Therefore, it is your responsibility to closely monitor your supply of medications. We recommend that you make your prescription requests at least 48 hours prior to running out of your prescriptions.
If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information.
Communications over the Internet and/or using the email system are not encrypted and are inherently insecure. There is no assurance of confidentiality of information when communicated this way. Nevertheless, you may request that we communicate with you via email. To do so, you must complete this form and return it to Precision Orthopedics & Sports Medicine (POSM).
We can use your health information and share it with other professionals who are treating you. Example: A doctor treating you for an injury asks another doctor about your overall health condition.
As a patient of a Precision Orthopedics & Sports Medicine (POSM), you have the right to request we communicate with you by electronic mail (email). It is also your right to be informed in sufficient detail about the risks of communicating via email with your health care provider or office, and how POSM will use and disclose provider/patient email.