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Home
Patient Forms & Locations
Smart-LEDA
Podiatry Blog
Photo Gallery

Photo Gallery

New Patient Forms

REGISTRATION FORM_1 (pdf)

PAST MEDICAL HISTORY FORM_2 (pdf)

CURRENT MEDICATION AND SURGICAL HISTORY FORM_3 (pdf)

CONFIDENTIAL COMMUNICATIONS FORM_4 (pdf)

NOTICE OF PRIVACY PRACTICES FORM_5 (pdf)

INSURANCE CONSENT FORM_6 (pdf)

Dr. Ray W. Ng, DPM, PA and Associates

112 North Adelaide Street, Terrell, Texas 75160 & 1120 Raintree Circle, # 220 Allen, TX 75013

Phone (972) 524-3668 Fax (214) 602-3668

Copyright © 2021 Dr. Ray W. Ng, and Associates - All Rights Reserved.

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As Us About Smart-LEDA Plus

19-21 Million Americans Have PAD

2 out of 3 patients do not show signs or symptoms

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