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Primary Care Consent forms

Please download and fill out the necessary forms before your visit or consultation to expedite the process.

  • Patient intake (PDF)
  • Notice of privacy Practice (PDF)
  • Medical history (PDF)
  • Telehealth patient consent form (PDF)
  • W Consent for evaluation and treatment (PDF)

Immigration form

Download and complete the following immigration form.

  • USCIS I-693 (PDF)

Phone and Email

(512) 215-0281

Fax: (512) 215-0918

admin@drlminto.us

Reach Us

306 E Main St #101
Round Rock, TX 78664-5215

Open Hours

Mon-Fri 09:00 – 18:00
Saturday 09:00 – 15:00

Sunday Closed

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