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Use our SECURE email communications between GTW/YM and our patients to:
- Complete patient forms in advance of your visit
- Request prescription refills (please allow at least 1-3 business days for the refill)
- Request routine follow-up appointments
- Send messages about non-urgent medical or billing questions
- Fees may apply for electronic communication related to medical services
Patient Forms – Dallas
Patient Forms – Fort Worth
Patient Forms – McKinney
Sports Physical Form
1) Print and complete the Texas Pre-Participation Physical Evaluation form.
2) This form can be faxed to 972-733-6564 or bring it to your scheduled appointment.
Immunization Signature Sheet
Adult consent is required for immunizations. If your child is under 18 years of age and will be coming to an appointment by themselves, please print, sign and fax the Immunization Signature Sheet to 972-733-6564 prior to their appointment.
Notice of Privacy Practices
View or print the Notice of Privacy Practices.
©2022 Girls to Women/Young Men's Health & Wellness
Dallas : 972-733-6565
Fort Worth : 817-524-1811 McKinney : 972-502-9099
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