409 North Sixth Street
Longview Texas 75601
(903) 758-2746
(903) 758-7127 fax
Monday - Friday
8:30 a.m. to 5:00 p.m.
You may download and complete our registration forms by clicking on the buttons below. Completing the forms in advance will speed your registration and check-in. You may fax the forms to our office at (903) 758-7127, but be sure to bring them with you as well.
All patients need to fill out the following forms:
• Accident Detail (PDF)
• Acknowledgment of Privacy Practices (PDF)
• Medical Records Release (PDF)
• Patient Information (PDF)
Dr. Taylor, Dr. Stanley, Dr. Langford, Dr. Ogunseinde patient form:
• History of Present Illness (PDF)
Dr. Littlejohn patient form:

These Forms require the Free Adobe Acrobat Reader Plug In. Click on the button above and follow the instructions to download and install this free Plug In.
Dr. Ogunseinde patient form:
• Spine Encounter (PDF)
• Modified Oswestry Low Back Pain Disability (PDF)
Vic Kennel, PT - Physical therapy questionnaire:
Post operative patient instructions:
• Total Knee Replacement (PDF)
• Total Hip Replacement (PDF)