Internal Medicine - Primary Care
Patient Assistance Program for Prescription Drugs
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Good Faith Estimate on Medical Cost
Blood Pressure Log
Handouts
Kegel Exercise for Women (Ohio State University)
Kegel Exercise for Men (Ohio State University)
Do Not Resuscitate (Texas Dept of State Health Services)
Advance Directives "Living Will" (United Regional)
Medical Records Release to Dr. Myrna C. De Asis
Diabetes Prevention (Wichita County Public Health District)
My Time - Record Personal Info and Wishes (Hospice of Wichita Falls)
Privacy Notices & Patient Rights (HIPAA)
Notice of Privacy Practices
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Shingles Vaccine - What You Need to Know
Call Us: (940) 763-8077
Medical Power of Attorney (Texas Medical Association)
Disclaimer
Medical Records Release from us to another provider
Forms
Diabetes Education (Wichita County Public Health District)
Low Cholesterol Diet Plan
Fasting Blood Sugar Log
Potassium Foods - Low
Employment Application
FMLA: Family and Medical Leave Act (Dept. of Labor)
Healthcare Directives
Purine Restricted Diet
Myrna C. De Asis, M.D., P.A.
Noticia de Practicas Privadas
Medication List
Potassium Foods - High
Influenza Vaccine (VIS) - What You Need to Know (CDC)
New Patient Registration Form
1800 Calorie Meal Plan (Novo Nordisk)
Cologuard easy-to-use Colon Cancer Screening Test
Immunization Schedule for Adults (CDC)