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New Patient Intake Paperwork


Please complete all paperwork below. You may click on the link to open and print the documents. Bring these documents with you, and any imaging that you have taken within the past year. You can also email or fax your completed documents to our HIPAA encrypted email and fax at [email protected] or 817-841-1078.

application-for-care-history-day-1-pdf.pdf

informed-consent-day-1-pdf.pdf

notice-of-privacy-practice-day-1-pdf.pdf

simple-release-hipaa-release-of-information-pdf.pdf