Patient Resources

Forms For Newly Enrolled Patients

Please download and sign the following forms prior to your first visit.

Weight Management PROGRAM Form

Please download and sign the following form prior to your initial appointment in the Weight Management Program.

REFERRAL FOR DENTAL AND VISION INSURANCE

I have partnered with Spirit Dental and Vision to offer you low cost dental and vision insurance.  You can purchase these individually or bundle them for greater savings. Click on the links below to learn more.

For more information on these plans and to enroll, contact our Spirit Dental and Vision Agent Sean Pfeiffer at 214-718-8806.

REFERRAL FOR CATASTROPHIC CARE

We have partnered with Sedera Health Share to offer you exclusive, low premium catastrophic care.  What is catastrophic care? Catastrophic coverage helps with those hefty medical bills from hospitals, ER visits, and even surgery.

Since patients are being seen and cared for by quality health professionals at Gem MD, Sedera has agreed to offer catastrophic coverage to patients at a highly discounted rate and are available exclusively to those enrolled in the Direct Primary Care clinic. Click to see the Sedera Health Brochure to learn more about this health share.

In summary, patients enrolled with Gem MD have three options:

1.  Don’t enroll in the health share and keep the catastrophic care that you already have. 

2.  Enroll in Sedera Health Share and get great catastrophic coverage. Click to see the price of Sedera.

3.  Choose to go without catastrophic coverage.

This great deal is offered exclusively to patents who are already enrolled in Rockwall’s Gem MD, so get enrolled today!

For details about Sedera or to get help with enrollment, please contact the representative Travis Putney

512-212-5445 tputney@sedera.com

You may use this link to enroll in Sedera online https://sedera.community/RockwallsGemMD