Patient Forms

Please print and fill out the following forms so we can expedite your first visit:

Once you have completed your forms, you can then either fax them to us at 817-274-4292 or bring them to your appointment. If you have any copies of lab reports, x-ray studies, or other relevant medical records, please bring this information to your appointment.

What to Expect

Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. Educate yourself on your symptoms by reviewing the content on this website under Patient Education. Also, take some time to review our staff page and familiarize yourself with the doctors. We look forward to your first visit.

Patient Registration

Because our schedules can fill up quickly, please call early for the best selection of appointment times. If possible, arrive about 15 minutes early for your first visit to allow time for completing your records. You should bring your driver’s license or identification card and medical insurance card. If you have any copies of lab reports, x-ray studies, or other relevant medical records, please bring this information to your appointment. Please let us know about any health problems, allergies, and medications that you are taking. Your copay and any outstanding balance will be collected prior to seeing the physician.

Release of Information

All medical information pertaining to each patient seen in our office is personal and confidential. Unless you give us written permission, we will not release your records at any time. Because this policy is enforced regardless of the circumstances, we may request you to sign a “Release of Information” form before we will copy any information contained within your medical chart to any third party, including but not limited to other physicians and insurance companies.