Start a Video Visit Now
Pricing Transparency
About Us
Volunteer
Quality
Physicians
Employees
Menu
Home
Find a Provider
Virtual Care
Services
Locations
Patients & Visitors
Nutrition Services
Online Bill Pay
Medical Records
MyChart
Patient Financial Services
Patient-Friendly Pain Management
Patients with Special Needs
Pre-Register Online
Quality & Safety
Nominate an Employee
Patient Education
Pricing Transparency
Good Faith Estimate
Surprise Billing Protection
Grievance Process
Coronavirus (COVID-19) Information
Events
Calendar
Cardiac Rehab Education
Childbirth Education
Diabetes Education
Support Group
News
Careers
Contact
Search form
Search
BSA Amarillo Diagnostic Clinic Forms
Back to ADC
Release of Information Form:
PDF
RTD
Gastroenterology Patient Questionnaire for Drs. Beggs, Ellington, Lusby and Nawaz:
PDF
RTD
Internal Medicine Patient Questionnaire for Dr. Holly Mitchell and Dr. Adrian Pay:
PDF
RTD
Infectious Disease Patient Questionnaire for Dr. J. Taylor Carlisle:
PDF
RTD
Neurology Patient Questionnaire for Dr. Sean Milligan:
PDF
RTD
Pulmonology Patient Questionnaire for Dr. Dieguez:
PDF
RTD
Rheumatology Patient Questionnaire for Dr. Ming Chen and Dr. Ali Hussein:
PDF
RTD
Sleep Medicine Patient Questionnaire for Dr. Tim Mooring:
PDF
RTD
BSA Health System on Facebook