Patient Forms

 
Patient registration page 1
Patient registration part 2 (notices)
If you would like to make an appointment with our Plano clinic and want to fill the registration information at home instead of the waiting room, you can do that by clicking the links below.  You can also request the office staff to email you the forms so you can sign them paperlessly online.

Print out the registration form, then bring your completed  registration form with you to our office, along with the corresponding IDs if you are using insurance.
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Pure Spring Medical
660 N Central Expy, Ste 640
Plano, Texas 75074

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972-792-7777
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Pure Spring Medical

(972) 792-7777

Isaac Z. Pugach, M.D.
(972) 792-7777

Pure Spring Medical
Isaac Z. Pugach, M.D.