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)

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Low Cholesterol Diet Plan

Potassium Foods  - Low

Blood Pressure Log

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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

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Shingles Vaccine - What You Need to Know

Employment Application

​​​Immunization Schedule for Adults (CDC)

Medical Records Release from us to another provider

Potassium Foods - High

Medication List

​Patient Assistance Program for Prescription Drugs

Good Faith Estimate on Medical Cost

Fasting Blood Sugar Log

Diabetes Education (Wichita County Public Health District)

Noticia de Practicas Privadas

Purine Restricted Diet

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Internal Medicine - Primary Care

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1800 Calorie Meal Plan (Novo Nordisk)

Healthcare Directives

Call Us:  (940) 763-8077

Texas Notifiable Conditions - 2024

​​Myrna C. De Asis, M.D., P.A.​