PHYSICIAN RELIANCE NETWORK INC
10-C, 1996-06-05
SPECIALTY OUTPATIENT FACILITIES, NEC
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<PAGE>   1
                      SECURITIES AND EXCHANGE COMMISSION

                            Washington, D.C. 20549

                                  FORM 10-C

               REPORT BY ISSUER OF SECURITIES QUOTED ON NASDAQ

                         INTERDEALER QUOTATION SYSTEM

                 FILED PURSUANT TO SECTION 13 OR 15(d) OF THE

               SECURITIES EXCHANGE ACT OF 1934 AND RULE 13a-17

                             OR 15d-17 THEREUNDER

                       Physician Reliance Network, Inc.
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                (Exact name of issuer as specified in charter)

              8115 Preston Road, Suite 300, Dallas, Texas 75225
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                   (Address of principal executive offices)

Issuer's telephone number, including area code          (214) 692-3800 
                                              ----------------------------------

                  I. CHANGE IN NUMBER OF SHARES OUTSTANDING

1. Title of security: Common Stock
                      ----------------------------------------------------------
        

2. Number of shares outstanding before the change:  23,656,485
                                                    ----------------------------


3. Number of shares outstanding after the change:  47,312,970
                                                   -----------------------------


4. Effective date of change:  May 31, 1996 (record date); June 10, 1996 
                              --------------------------------------------------
                              (payment date)
                              --------------------------------------------------

5. Method of change:

        Specify method (such as merger, acquisition, exchange, distribution,
        stock split, reverse split, acquisition of stock for treasury, etc.):

              Stock Split
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        Give brief description of transaction: 2-for-1 split of the Company's 
                                               ---------------------------------
              Common Stock
              ------------------------------------------------------------------


                         II. CHANGE IN NAME OF ISSUER

1. Name prior to change
                        --------------------------------------------------------
                       
2. Name after change                                                            
                     -----------------------------------------------------------
                                                    
3. Effective date of charter amendment changing name
                                                     ---------------------------
                                                      
4. Date of shareholder approval of change, if required
                                                       -------------------------

Date: June 4, 1996                          /s/  Randall D. Kurtz
    ----------------------                  ------------------------------------
                                            Randall D. Kurtz
                                            Executive Vice President and
                                            Chief Financial Officer



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