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Asthma Treatment Info Request

Complete the form below to request an appointment or more info about bronchial thermoplasty at Texas Health Dallas.Texas Health Presbyterian Hospital Dallas is the first hospital in North Texas to offer new hope to severe asthma sufferers with a groundbreaking procedure called Bronchial Thermoplasty.

Unlike medications, it goes to the source of the problem, using heat to dissolve the airway smooth muscle and prevent airway constriction. The result is improved, long-term relief, including decreases in severe attacks, asthma-related ER visits, and severe asthma symptoms.

To request an appointment or more information about this exciting new treatment, please complete and submit the information below.

A representative will contact you shortly to follow up.

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First Name * 
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Gender * 
Date of Birth (MM/DD/YYYY) * 
Children in Household? * 
Health Insurance? * 
Name of Health Insurance Carrier 
Primary Care Physician? * 
Preferred Texas Health Hospital * 
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