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Patient Forms

Patient Forms/ Tips For Your Visit

New patients, please arrive 20 minutes before your appointment time to complete the necessary paperwork, or find, print and complete your doctor’s forms below. After completing the forms, bring the paperwork with you to your appointment. Do not return paperwork via email due to privacy practices.


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Your Security Is Our Priority

Rest assured, all of your health and financial information is protected by the most stringent administration, technical and physical safeguards. If you have any questions, just ask us!

Medical Records Request

Please complete the medical records release form in its entirety. You may fax the completed form to (903)939-7761, drop it off in person or mail it to Azalea Orthopedics Attn: Medical Records 3414 Golden Rd. Tyler, TX 75701.

Please allow up to 48 hours to process your request. Contact us with any questions at (903) 939-7764.

Notice On Imaging Files

Please make sure to go by the facility and bring a disc of any imaging that you had done to your visit. If this is not with you at the time of your visit, we may have to reschedule your appointment. We do have access to your imaging if it was done at: ETMC, Trinity Mother Frances, or Texas Spine & Joint. If it was done anywhere else, we cannot see them here. Thank you!

Notice On Worker's Compensation

If you have not informed our office that your injury is a work-related injury, you need to contact us immediately! Call 903-939-7501 BEFORE YOUR SCHEDULED APPOINTMENT! Failure to do so will result in delay of your appointment.

Location Information

Our Main Office location is split into three sections. The Main Level (left entrance) is located on the second floor adjacent to the Joint Reconstruction Center (right entrance). The Spine Center is located on the lower level of the building and is the only entrance that faces Paluxy Drive. You cannot access the upper levels from the Spine Center or vice versa.  All spine & pain management doctors are located in the Spine Center, and all specialists are located on the main level. Before your visit, see your doctor’s page to ensure you arrive at the correct office.

Contact Quick Links

Main Office: (903)-939-7500 or click here for other location numbers

Click here to schedule an appointment online or call 903-939-7501.

Billing-You have the option to pay a bill anytime, safely, and securely through our patient portal. If you have questions concerning a bill or a payment, please call 903-939-7777

If you should need emergency orthopedic care after regular office hours, weekends or holidays, please call our office number 903-939-7500

If you are in need of emergency or urgent care, please call 911, or visit a nearby emergency care facility:
Texas Spine and Joint Hospital
Tyler Urgent Care
Momentum Complete Care
Hospitality ER
UT Health East Texas ER