​​Myrna C. De Asis, M.D., P.A.​

Call Us:  (940) 763-8077

Employment Application

​​​Immunization Schedule for Adults (CDC)

Texas Notifiable Conditions - 2024

Fasting Blood Sugar Log

Diabetes Education (Wichita County Public Health District)

1800 Calorie Meal Plan (Novo Nordisk)

Medical Records Release from us to another provider

Potassium Foods - High

Healthcare Directives

Medical Power of Attorney (Texas Medical Association)

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

Purine Restricted Diet

Medication List

Forms

Internal Medicine - Primary Care

​Patient Assistance Program for Prescription Drugs

Read More

Good Faith Estimate on Medical Cost

Disclaimer

Low Cholesterol Diet Plan

Potassium Foods  - Low

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)

Vaccine Information Statement (VIS) - Multi Language

Notice of Privacy Practices

​​​​Read More

Shingles Vaccine - What You Need to Know