Best Effective Affordable Sleep Medicine | Clinic | Apnea Treatment Center in McKinney-Garland | Mckinney Pulmonologist, McKinney TX Sleep Lab, McKinney cpap mask

4833 Medical Center Drive, Suite 6B, McKinney, TX 75069
Mon - Fri : 9:00 AM - 5:00 PM
Shahrukh A Kureishy M.d., F.C.C.P. Board Certified Pulmonologist
(972) 838-1892
PATIENT FORMS

Patient's Forms

WELCOME to Metroplex Pulmonary & Sleep Center.

ONLINE FORMS: Fill Up Forms Online And Submit

PDF FORMS: Download PDF forms print then fill up and send by Email or FAX

NEW PATIENTS:

Download forms and complete them prior to arrival at our office to avoid delays. If this is not possible, please arrive at least 15 minutes earlier.

Please bring some form of picture identification, preferably your Driver’s License, and current insurance card.

Write down any questions that come to mind so that we can provide you with as much information as possible during your visit.

Please contact us as soon as possible if you are unable to arrive at your scheduled appointment time. We ask for 24 hour notice for cancellation of any appointment.

Please bring your current medications with you to your appointment. This includes inhalers, sprays, prescriptions, as well as over-the-counter, herbal, or alternative medications so that we can fully assess your current condition.

Please bring with you or have your Primary Care physician provide us with any X-ray or CT reports, preferably on disk or film.

Please bring your Primary Care physician information.

If your insurance is an HMO, please bring your referral authorization.

SLEEP PATIENTS – Please bring your CPAP machine and download card. Also, we will need the name of your oxygen or CPAP provider.

Your Primary Care Physician’s/Internist’s or Family Practioner’s Name, EXCLUDING ER (Emergency Room) and UR (Urgent Care) Physician/s.

RETURNING PATIENTS:

Please advise our staff of any changes in your address, phone contacts or insurance.

Please contact us as soon as possible if you are unable to arrive at your scheduled appointment time. We ask for 24 hour notice for cancellation of any appointment.

1701 Eldorado Pkwy Suite 250,
Mckinney, TX 75069

Call us : (972) 838-1892
Fax: 214-548-4205

Mon – Fri: 9:00AM – 5:00PM
Sat – Sun: Closed

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