Patient Check-In Forms
Our goal is to better serve you and improve your health! By completing the check-in forms ahead of time, you’ll save time in your appointment AND allow us to have the most accurate information. Please follow the instructions below:
1) Download the forms by clicking ‘download’ under the Form tab,
2) Print out and complete form,
3) Scan, save to your computer, and use the upload form to send us your information.
SENDING & REQUESTING INFORMATION
In a doctor/patient relationship, there may be more information that we need to obtain. Click on this resource list to send us Outside Lab Results, Imaging from other Providers, Medical Records from other Providers, or your personal blood sugar logs. Files must be in PDF, .doc, or .txt file formats.
Trusted by Patients
Dr. Carlos Arauz Pacheco, MD
Learn More About Dr. Arauz-Pacheco's Biography, Specialities, and Certifications
Dr. Carlos Arauz Pacheco is an endocrinologist in Rockwall, Texas and has been in practice for more than 20 years.
Dr. Dan Lender, MD
Learn More About Dr. Lender's Biography, Specialities, and Certifications
Dr. Dan Lender, MD is a Endocrinology, Diabetes & Metabolism Specialist in Rockwall, Texas with over 35 years of experience in the medical field.
Dr. Erin Dunnigan Roe, MD
Learn More About Dr. Roe's Biography, Specialities, and Certifications
Erin D. Roe, MD, MBA, FACP is board certified in internal medicine and in endocrinology, diabetes and metabolism and has over 15 years of experience in the medical field.
Learn More About Pauline Pagel's Biography, Specialities, and Certifications
Polly has been a Registered Nurse for 30 years with experience in Emergency Room Nursing and Intensive Care Nursing at Parkland Hospital in Dallas.
Lori Kleinfield, RD, CDE
Learn More About Lori's Biography, Specialities, and Certifications
Lori is a Certified Diabetes Educator and Registered Dietitian who specializes in nutrition counseling. wellness, and diabetes education.
Alexandra Ramirez, AAS, NRCEKG, NRCMA, NRCPT
Learn More About Alexandra's Biography, Specialities, and Certifications
Since 2015, Alexandra Ramirez has directed research at Diabetes and Endocrinology Clinical Consultants of Texas. Alexandra oversees operations, performance, and all aspects of running the Clinical Research program.