Forms & Policies

Please download, print and complete any / all forms needed. These forms contain our medical questionnaire with special emphasis on Age Related Signs and Symptoms.
 
 Please bring these completed forms with you for Review on the day of your appointment with
 Dr. Robert Zimmerman.

 

New Patient Form:

Informational Material:
Woman's New Patient Form: Privacy Policies
Men's New Patient Form: Financial Policy:
Patient Authorization Form:  
   
  Check List
  Free Men's Symptom Check List
  Free Women's Symptom Check List
   

To read these files, you need to have the free Adobe Acrobat Reader software
installed on your PC or Mac.

Get Acrobat Reader      Get Adobe Acrobat Reader 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
 

Robert O. Zimmerman M.D.
170 SE 8th Street, Suite B
Paris, Texas 75460
Phone: (903) 785-6156
 

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