In an effort to simplify the scheduling process, we have provided the most frequently used physician forms/orders for downloading. Please select the appropriate forms below.
Learn more about scheduling procedures at Medical City Las Colinas.
Pre-Admission Testing Orders
- Anesthesia Consent 1-12
- Blank Assistants During Surgery Consent 10-09
- Blank Blood Products Consent 10-09
- General Blank Disclosure 3-12
- Spine Operation Disclosure 9-12
- OB Pre-Registration Form 08-09
- Spanish OB Pre-Registration Form 08-09
- Vaginal Hysterectomy w/wo BSO Form 01-12
- Total Abdominal Hysterectomy Form 01-12
- Laparoscopic Hysterectomy Form 01-12
- Laparoscopic Repair or Inguinal or Ventral Hernia 1-12
Surgery Schedule Request Form
For the convenience of both our physicians and patients, we provide 3 locations for imaging services, 2 of which are outpatient facilities providing both easy access and cost effectiveness. After registration - Procedure will begin within 10 minutes (or less) of the scheduled appointment time.
In order to assist in selecting the correct location/service for your patient please review and choose the appropriate link below:
Medical City Las Colinas Imaging Services
- Multi-slice CT
- Ultrasound 3D
- MRI-Short Bore
- Nuclear Medicine - Dual Head
We hope this simplifies the selection process for selection of services as provided by each location. Each order form is downloadable by choosing a link above. If you have any questions regarding the ordering of an exam, please call (972) 612-6565.
Outpatient Therapy & Rehab
- Physical, Occupational and Speech Therapy Orders 2-15
- Cardiac Rehab Orders 12-08
- Pulmonary Rehab Reference 12-08
- Pulmonary Rehab Orders 12-08