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)