Cologuard easy-to-use Colon Cancer Screening Test

New Patient Registration Form

FMLA:  Family and Medical Leave Act (Dept. of Labor)

Noticia de Practicas Privadas

Low Cholesterol Diet Plan

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

Shingles Vaccine - What You Need to Know

​​Myrna C. De Asis, M.D., P.A.​

Purine Restricted Diet

Medication List

Read More

Covid-19 Form for Non-Patient

Disclaimer

Call Us:  (940) 763-8077

Influenza Vaccine (VIS) - What You Need to Know (CDC) 

Internal Medicine - Primary Care

​​​Immunization Schedule for Adults (CDC)

Healthcare Directives

Covid-19 Form for Active Patients

Medical Records Release from us to another provider

Forms

1800 Calorie Meal Plan (Novo Nordisk)

​Patient Assistance Program for Prescription Drugs

Fasting Blood Sugar Log

Medical Power of Attorney (Texas Medical Association)

Employment Application

Do Not Resuscitate (Oklahoma Dept of Human Servces)

Diabetes Education (Wichita County Public Health District)