Family & Sports Medicine, Dallas | Dr Luis C Palacios MD CAQ, Primary Care, Dallas, Medical Partners of Lakewood

:: BIOGRAPHY - DR. LUIS C. PALACIOS

Luis C. Palacios, M.D. is Board Certified by the American Board of Family Medicine

Certificate of Additional Qualification in Sports Medicine by the American Board of Family Medicine

Specialty		Medical School
Family & Sports Medicine		University of Texas Medical Branch Galveston, Texas
Residency		Residence
Texas Tech University Health Science Center Lubbock, Texas		Dr. Palacios lives in Dallas with his family.
Team Physician Affiliations		Memberships
Team Physician Dallas Independent School District, Team Physician Paul Quinn College, USA Boxing Volunteer Physician		American Medical Association, Texas Medical Association, Texas Academy of Family Physicians, Dallas County Chapter of Family Practice, American Academy of Family Physicians, American College of Sports Medicine, American Medical Society for Sports Medicine, Texas Chapter American College of Sports Medicine

:: BIOGRAPHY - DR. ALEXANDER S. AMBY

Alexander S. Amby, M.D. is Board Certified by the American Board of Family Medicine

Specialty		Medical School
Family Medicine		Dartmouth Medical School Hanover, NH 2002-2004 Graduate of the Alpert Medical School of Brown University Providence, RI 2004-2006
Residency		Residence
Memorial Hospital of Rhode Island Brown Family Medicine Program Pawtucket, RI		Dr. Amby lives in Dallas with his family.
		Memberships
		American Academy of Family Physicians, Texas Academy of Family Physicians

:: FORMS

Receipt and Notice of Privacy Practices
Describes how medical information about you may be used and disclosed and how you can access this information. HIPAA requires all patients to complete this form.
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Medical Release
Form authorizing healthcare provider to release your medical information to Medical Partners of Lakewood
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Red Flags Payment Permission Form
Form authorizing a patient the use of Medical Flex card, personal credit card, or personal check to pay for the services that they receive at Medical Partners of Lakewood
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Medical Information Release
Authorizes Medical Partners of Lakewood to release your medical information to specific entities.
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Know Your Benefits
This pamphlet can assist you in learning about your insurance benefits, including questions to ask your provider.
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:: Services Offered

• New Patients Always Welcome

• Same-Day Sick Visits Available

• Health Care (Including Immunizations) for Newborns and Pediatric Patients

• Sports, School, Annual Physicals

• Labs, Immunizations, Travel Medicine

• Well Woman & Gynecological Exams, Family Planning , including Contraceptive Management, IUD Placement/Removal and Colposcopy

• Diabetes Screening and Counseling

• Medical and Non-Operative Orthopaedic Management of Illnesses and Injuries

:: Hospital Affiliation

9440 Poppy Dr
Dallas, TX 75218
[t] (214) 324-6100

www.doctorshospitaldallas.com