SEND PATIENT INFORMATION ELECTRONICALLY

    Using the tools on this page, you can securely send your information or medical records directly to our office via an encrypted form. You can also complete patient check-in forms electronically, update insurance information, or update your records with our file upload tool.

    Patient Check-in

    If you are a new patient, and haven’t yet checked in, first download and complete the Patient Check-In forms. Be sure to save your completed check-in forms to your computer for any future updates.

    Outside Lab Results, Imaging, & Reports

    Upload Lab Results/Reports from Other Providers:

    Using the Patient Information Upload form, you can send us lab results, imaging, or medical records from another medical office (.docx, .pdf files accepted).  If you have a hardcopy, simply scan to a pdf file and attach it to your form.

    Insurance Changes

    Revise Insurance Information: To upload new information or changes to your existing plan, complete the Insurance Change Form.

    Update Existing Medical/Demographic Records

    To update your existing medical or demographic records electronically,  follow the instructions below to use the Patient Information Update Form and upload your updated information.

    Patient Lab Results/Imaging/Reports Upload Tool

    All patient information should be uploaded in an encrypted data format for security and confidentiality purposes. You may use this upload tool if you have your information from Other Providers in a .PDF, .doc, or .txt file format.
    • MM slash DD slash YYYY
      mm/dd/yyyy
    • Drop files here or
      Accepted file types: pdf, doc, Max. file size: 10 MB, Max. files: 5.
        .pdf, .doc, .txt files accepted

      NEED HELP?

      Contact us via email if you have any questions regarding our online tools or require assistance.

      Updating Your Existing Patient Check-In Information:

      Adobe Acrobat Reader Required

      If you originally completed the Patient Check-In Forms by hand,

      1)  Edit changes to your original saved forms OR ‘Download’ the respective forms again, print out and make your changes,

      2)  Scan & Save to your computer (.PDF, .doc, or .txt file format),

      3)  Compete all Upload form fields below and select the revised file to upload,

      4)  Click Submit.

      Patient Information Update Form

      All patient information should be uploaded in an encrypted data format for security and confidentiality purposes. Please upload in a .PDF, .doc, or .txt file format.
      • MM slash DD slash YYYY
        mm/dd/yyyy
      • Drop files here or
        Accepted file types: pdf, doc, Max. file size: 10 MB, Max. files: 5.
          .pdf, .doc, .txt files accepted

        NEED HELP?

        Contact us via email if you have any questions regarding our online tools or require assistance.

        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.

        Dallas

        12606 Greenville Ave, #215
        Dallas TX 75243

        Hours: Mon-Thu 8:00 am-5:00 pm
        Fri: 8:00 am-Noon

        (214) 660-2020

        Rockwall

        890 Rockwall Pkwy, #102
        Rockwall TX 75032

        Hours: Mon-Thu 8:00 am-5:00 pm
        Fri: 8:00 am-noon

        (972) 475-5600

        info@diabetesendotx.com