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: 8:30AM -5:00PM

Tue: 8:30AM -5:00PM

Wed: 8:30AM -5:00PM

Thu: 8:30AM -5:00PM

Fri: 8:30AM -5:00PM

Sat: Closed

SOCIALS

Facebook

Youtube

Google

LOCATIONS

4514 Cornell St. Suite B , Amarillo TX 79109

(806) 557-2737


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.