Every new patient is given a packet containing HIPPA documents and information forms. Click "New Patient Packet" to view and print these forms.
The person making your appointment will let you know which forms will be required. You may fax the completed forms to 817-924-3222 or bring them with you.
Current HIPPA regulations require each patient to be given the "Notice of Privacy Practices" statement for our practice. It is contained in the "New Patient Packet". You will be asked to sign a form stating you have recieve and read this statement.
If you are making an appointment for infertility evaluation, print and complete the "Infertility History" form below prior to your visit.
Adobe Reader (a free download) is required to view these forms and can be downloaded free here or by clicking the Adobe icon below.
We are looking forward to seeing you and serving your healthcare needs.
If you would like to make an appointment, email us with the date and time you would prefer. Please include your full name, birthdate, reason for visit, and phone number. We will respond promptly.
For laboratory results, reports, and questions, please include your full name and date of birth so that we can access the appropriate file.
If it has been over 12 months since your last visit or if your insurance coverage, address, phone number, or other demographic information has changed, download and complete the "Current Patients Information Update" form below. Complete those areas that have changed from your last visit