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Patient Forms

If you are a new patient, please download and complete the following forms and bring them with you to your appointment. Filling out this information ahead of time will allow us to better serve you.

 

New Patient Packet (11 pages/PDF - 665 KB)

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If you are visiting Dr. Hughes for a follow-up appointment, please download this form and bring it with you to your appointment. Completing this form ahead of time will allow for a more efficient check-in process.

 

Established Patient Form (1 page/PDF - 84 KB)

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This brief questionnaire by Myriad will help you determine whether you should be further evaluated for either Hereditary Breast and Ovarian Cancer syndrome or Lynch syndrome.

 

Cancer Risk Assessment

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If you need to monitor drainage post surgery, please print a copy of this form.

 

Drain Record (PDF - 29 KB)

 

 

The Cancer Risk Assessment provided on this Web site is for screening purposes only and should not be considered medical advice or a substitute for a consultation with a physician. It is provided by Myriad and not endorsed by Medhealth, Methodist Health System, or Methodist Richardson Medical Center but provided to patients as a education tool.

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