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Baylor Scott & White Surgical Hospital at Las Colinas
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Back and Spine Care
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PAY YOUR BILL
myHEALTH Portal
Home
For Patients
Community Health Needs Assessment
Finance Options
Hospital Pricing Information
Insurance
Patient Portal: Existing Patients
Patient Portal: New Patients
Pay Your Bill
Other
Accessibility Statement
Good Faith Estimate
Nondiscrimination Notice
Privacy Policy
Consumer Access Request Form
Social Media Terms of Use
Su Privacidad
Surprise Medical Bills
Website Terms and Conditions
Your Privacy
Your Rights and Responsibilities
Your Surgery
Surgery FAQ
Patient Information
About
Our Team
Our Staff
Our Doctors
Contact
Careers
Location
Specialties
Back and Spine Care
General Orthopedics
General Surgery
Gynecology
Imaging
Ophthalmology
Oral and Maxillofacial
Otolaryngology (ENT)
Pain Management
Physical Therapy
Joint Wellness Class
Spine Surgery Class
Plastic & Reconstructive Surgery
Podiatry
Urology
Consumer Access Request Form
Consumer Access Request Form
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We do not sell personal information that we have collected from consumers to any third parties. By completing this form, you are making a Consumer Access request under California Consumer Privacy Act for personal information collected, held and disclosed about you that you are entitled to receive. On this date
, I affirm that I am the consumer, or authorized by the consumer to act on their behalf. I understand that misrepresentation may be subject to legal action.
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