Dr. Riegel -- Print Our New Patient Form

New Patient Form

If you are going to be a new patient to our office, please use the links below to download and print our New Patient Information Form. Please fill out this form and bring it into the office for your scheduled appointment.

In order to print it, you'll need Adobe^Ž Acrobat Reader (version 3.0 or later). You may download the program for free by clicking here, which will give you the download information for it in a new browser window.

New Patient Registration Form

3108 Midway Rd.
Suite 100
Plano, TX 75093
(972) 608-8979