Appointments: 817-599-3690

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Downloadable Forms

Registration forms may be printed and completed prior to your initial visit. These forms can be faxed to us at 817-599-6633 or brought with you to the first appointment. In addition, please bring your insurance card. You will be responsible for co-pays and deductibles at this time. If a referral is required, please confirm that a referral has been completed prior to your appointment.

 

Patient Registration Packet

Personal Medical History

Medical Release Form

HIPAA/PHI

Adobe Acrobat

In order to view or print these forms you will need Adobe Acrobat reader installed. Click HERE to download it or go to http://get.adobe.com/reader

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