PATIENT PAPERWORK
NEW PATIENT PAPERWORK
One Light Medical offers our patient form(s) online so they can be completed in the convenience of your own home or office.
All forms are PDF files. You will need AdobeReader® to view them.
If you do not already have AdobeReader® installed on your computer, Click Here to download.
Download the necessary form(s), print them out and fill in the required information.
Fax us your printed and completed form(s) or bring them with you to your appointment.
NEW PATIENT PAPERWORK
At One Light Medical we are an all cash based practice and do not accept insurance, medicare or medicaid.
Please have you card ready when making your appointment so be can better serve you. If you have questions, do not hesitate to contact us!
PAYMENTS WE ACCEPT
Check
Cash
Care Credit - 0% interest financing
Visa, Mastercard, Discover
SITEMAP
ACCESIBILITY
ANTI-DISCRIMINATION
HEALTHCARE DISCLAIMER
HIPAA POLICY
PRIVACY POLICY
TERMS OF SERVICE
HOURS
Mon: 9AM - 12:00PM
3PM - 6:00pm
Tue: 9AM - 12:00PM
3PM - 6:00pm
Wed: 9AM - 12:00PM
3PM - 6:00pm
Thu: 9AM - 12:00PM
3PM - 6:00pm
Fri: Closed
Sat: Closed
LOCATIONS
4514 Cornell Street, Amarillo TX 79109
The patient and any other person responsible for payment has a right to refuse to pay, cancel payment or be reimbursed for payment for any other service examination or treatment performed as a result of and within 72 hours of responding to the advertisement for the free, Discounted fee or reduced fee service, examination or treatment. A $350 value. May not be valid with certain insurance. Offer only valid for new patients.
© 2022 | ONE LIGHT MEDICAL | ALL RIGHTS RESERVED.