PATIENT FORMS

If you were unable to complete the paperwork already online, please download, print, and complete the forms below before your visit. Then bring or scan and email the forms to us as soon as possible.

f you have questions, call or text 903-957-0275.

NEW PATIENT FORMS
New Patient Fillable Forms Packet (fillable but you must save/print)
New Patient Registration Forms  (print and manually fill out)
Medical & Family History Form
Notice of Privacy Practices (HIPAA) and all Policies

ESTABLISHED PATIENT FORMS
Interval Medical History (fillable - must save/print)
HIPAA Authorization Form

MEDICAL RECORDS RELEASE
Medical Records Release Form (records sent TO us)

HEALTH ASSESSMENTS
GI Health Assessment
Stress / Adrenal Assessment