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J. Michael Putman,
MD,P.A, & Associates
Fertility Center of Dallas
Baylor Medical Pavilion
3900 Junius Street, Suite 610
Dallas, Texas 75246

Located across the street from our old location...

Patient forms

Patient Paper Work

PLEASE BE ADVISED THAT THE LOCATION ON THE FORMS MAY NOT BE UP TO DATE.
THE NEW LOCATION IS:

J. Michael Putman, MD,PA
Baylor Medical Pavilion
3900 Junius Street, Ste 610
Dallas, Texas 75246
THE NEW LOCATION IS ACROSS THE STREET FROM THE OLD LOCATION.

HIPAA.pdf

HIPAA_Acknowledgement.pdf

NNP-2.pdf

NNP-3.pdf

NNP-4.pdf no longer applicable

NNP-5.pdf

NNP-6.pdf

NNP-7.pdf no longer applicable

NNP-8.pdf

NNP-9.pdf

NNP-10.pdf

NNP-11.pdf

NNP-12.pdf

NNP-13.pdf

Partner Paper Work

NNP-14.pdf