For you convenience, Dr. James Hakert has provided the new patient forms below that you can download and print at home. Completing these forms prior to arriving for your first appointment will save you significant time while at Dr. Hakert’s office. If you have any questions when filling out these forms, please do the best you can, and our staff will assist you with any questions on the day of your visit.

The procedural preparation forms will give you a detailed description of what you need to do during the 24-hour period before the procedure. Please use these as a guide, and contact Dr. Hakert’s office with any questions regarding procedure prep instructions, billing questions or Dr. Hakert’s approved insurance providers.


Dallas Office: (214) 368-6707

Rowlett Office: (972) 475-8183



NEW PATIENT INFORMATION FORMS

New Patient Registration Packet

Follow-up Patient Packet

BILLING QUESTIONS
Don’t hesitate to call or email us with any insurance or billing questions. Our staff is eager to address any questions or concerns you may have.


Dallas TX Office: (214) 368-6707

Rowlett TX Office: (972) 475-8183



APPROVED INSURANCE PROVIDERS

View Dr. Hakert’s Accepted Insurance Providers

PROCEDURE PREPARATION FORMS


Preparation for a Colonoscopy – Suprep

Preparation for a Endoscopy

Preparation for a Flexible Sigmoidoscopy







Note: The above documents are in Adobe® PDF format. They require Adobe Reader to be viewed. If you do not have Adobe Reader, you can click on this link to download it for free.