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Dr. Rizvi Wound Care
Dr Rizvi Wound Care

New patient intake

Welcome. Let's get you scheduled.

Please complete this form so our front desk can verify your insurance and confirm your first visit. Fields marked with an asterisk are required. For anything urgent, call 972-491-1200.

Your information is submitted securely to the clinic and is protected under HIPAA.

A clinician carefully wrapping a patient's hand with a fresh bandage.

Let's Connect

I'll get back to you as soon as possible

By submitting this form, you agree to be contacted about your inquiry. This form is not for medical emergencies — call 911 or go to an ER. Do not include sensitive health information (PHI) in your message. See our Notice of Privacy Practices.

Or call directly: 972-491-1200