Call Us:  214-696-1118

                North Dallas Internal Medicine

Jeb S. Miers M.D.           


All new patients must bring an insurance card, driver's license or other picture identification and a current list of medications including dosages and the directions of the medication, diabetic machines, and blood pressure machine. It is a new patient's responsibility to ensure that a medical release and provided to the office so that all past records are retrieved prior to appointment faxed to our office at 214-696-4447.

Click on the links below to access the New Patient Forms. After you click the link, a new browser window will open. After it opens, click on the 'PRINT' icon on your browser. After the form prints, fill it out and bring them into our office.