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 Forms (link to digital forms)
New Patient Paper Forms (print and manually fill out)
Notice of Privacy Practices (HIPAA)

ESTABLISHED PATIENT FORMS
Consent to Treat Minor (digital form)
HIPAA Authorization Form

MEDICAL RECORDS RELEASE
Medical Records Release Form TO us (digital form to request another clinic send records TO us)
Medical Records Release Form FROM us (digital form to send records to another clinic)

Medical Records Release Form (paper form to print and to take another clinic to send records TO us)