Patient Forms
If you were given a code for the Patient Portal, please skip this page and proceed to the Patient Portal page listed in the menu to the left.
Otherwise, if you are a new patient to the practice, please complete the Registration, Medical History, Release of Information, Authorization for Release of Medical Records, and Pharmacy Information forms, and bring them to your appointment. To access the forms, click on the link below.
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Primary Care Internal Medicine, PLLC
Mark F. Doerner, M.D., Ph.D.
Twin Creeks One Medical Office Building
1111 Raintree Circle, Suite 240
Allen, TX 75013
Phone: 972-908-3455
Fax: 972-908-3477