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 choose from one of the two options below and follow the instructions:
1. EASIEST METHOD - ONLINE:
Complete & Send Online (Valid email Required)
1) Launch the respective form by clicking ‘online’ under the Form tab at top of page,
2) Complete electronically on your computer and follow the prompts,
3) Check your email to approve and send to DECCT.
Download, Complete the Form, Scan/Save & Upload
1) Download the forms by clicking ‘download’ under the Form tab below,
2) Print out and complete form,
3) Scan, save to your computer, and upload with the tool below.
Download / Complete / Upload, or Bring With You
Step 1: Download, print out, complete by hand,
Step 2: Scan to a PDF file, save to your computer, upload using the tool below
Patient Check-In Upload ToolAll patient information will be uploaded in an encrypted data format for security and confidentiality purposes. You may use this upload tool AFTER: 1) You have downloaded/completed on your computer and saved to pdf format OR, 2) You downloaded, printed and completed the Patient Check-In forms by hand and scanned the handwritten forms into a pdf format.
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.
Learn More About Carlos Arauz's Biography, Specialities, and Certifications
Carlos has worked as a physician intern in endocrinology and internal medicine, surgery, pediatrics, obstetrics & gynecology, and family/community medicine at the various public hospitals throughout Costa Rica as well as at Hennepin County Medical Center in Minnesota.
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.