PATIENT FORMS

For your convenience, we have placed various patient forms below, in the form of PDF files that you may download at your leisure. Once they have been completed, you can either mail or fax them to this office, or bring them with you to your appointment.

Clinic Fax Numbers:

Raza, Reuter, Roffman Fax: 844-292-1461

Chhabra Fax: 214-254-2259

You will need the Adobe Reader to view and print these documents.

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HEARTPLACE BAYLOR PLANO

4708 Alliance Boulevard
Pavilion 1, Suite 500
Plano, Texas 75093

Dr. Raza

Office:

972-941-3100

Dr. Reuter

Dr. Roffman

Fax: 

844-292-1461

Dr. Chhabra:

Office: 

Fax: 

972-591-5322

214-254-2259

Location Hours: 

8:00 am - 5:00 pm (M-F)

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All Rights Reserved.