NEW PATIENT FORMS

Please see the new patient forms below.
You may download, print and bring to your office visit.
New Patient Information Sheet (English & En Espanol)
Notice of Privacy Practices

Panhandle OBGYN

Phone: 806.359.5468

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Panhandle OBGYN

7620 Wallace Blvd.

Amarillo, Texas 79124

info@panhandleobgyn.com

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©  by Panhandle OBGYN | lizzylizzyliles 

 

PATIENT NON-DISCRIMINATION POLICY
Any individual shall not be discriminated against because of race, color, creed, religion, sex, age, sexual preference, national origin, citizenship, marital status, disability, veteran status or any other status or characteristic protected under applicable federal, state or local laws. Acts of and/or harassment based on any of those factors are totally inconsistent with our philosophy of doing business and will not be tolerated at any time.
*ATTENTION: Language Assistance Available: Español (Spanish) | 繁體中文 (Chinese) | Tiếng Việt (Vietnamese) | 한국어 (Korean) | Tagalog (Tagalog – Filipino) | Русский (Russian) | العربية (Arabic) | Français (French) | Deutsch (German) | 日本語 (Japanese) |   فارسی (Farsi) | हिंदी (Hindi) | ພາສາລາວ (Lao) | ગુજરાતી (Gujarati)
Language assistance services, free of charge, are available to you. Call: 1-800-368-1019 or TTY: 1-800-735-2989

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