New Patient Forms
Our new patient forms are available online so that you may fill them out prior to your office visit. Please print out each of the forms listed below, completely fill them out, sign each form, and bring them with you to your appointment. Completing the forms ahead of the appointment will greatly decrease your wait time
If you have questions regarding these forms, please contact our office today at (817) 753-6633.
Required Paperwork - please print, complete and sign before your appointment:
- New Patient Packet (PDF)
- HiPAA Form - Written Acknowledgment of Receipt of Notice of HIPAA Privacy Practices (PDF)
Adobe Reader Instructions
If you do not have Adobe Reader you can safely download it here.
Before downloading, please be sure to unselect the McAfee Security Scan Plus option if you do not want the additional download. This will NOT effect your download of Adobe Reader. Once downloaded, install Adobe Reader.
The forms can be completed on the computer before you print by typing in the fields. You can view the fields in Adobe Reader by selecting 'View Fields' option in the upper right had corner of the document when it's open.
After printing, please be sure to sign where required.