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)

Read More

Good Faith Estimate on Medical Cost

Disclaimer

Low Cholesterol Diet Plan

Handouts

Kegel Exercise for Women (Ohio State University)

Do Not Resuscitate (Texas Dept of State Health Services)

Advance Directives "Living Will" (United Regional)

My Time - Record Personal Info and Wishes (Hospice of Wichita Falls)

​​Privacy Notices & Patient Rights (HIPAA)

Notice of Privacy Practices

​​​​Read More

Shingles Vaccine - What You Need to Know

Employment Application

​​​Immunization Schedule for Adults (CDC)

Fasting Blood Sugar Log

Diabetes Education (Wichita County Public Health District)

Noticia de Practicas Privadas

Purine Restricted Diet

Forms

Internal Medicine - Primary Care

Potassium Foods  - Low

Blood Pressure Log

Kegel Exercise for Men (Ohio State University)

​Medical Records Release to Dr. Myrna C. De Asis

Diabetes Prevention (Wichita County Public Health District)

​​Myrna C. De Asis, M.D., P.A.​

1800 Calorie Meal Plan (Novo Nordisk)

Medical Records Release from us to another provider

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

Medication List

​Patient Assistance Program for Prescription Drugs

Potassium Foods - High

Healthcare Directives

Call Us:  (940) 763-8077