Fill out your patient paperwork online by clicking the button below.
Please bring the following:
- Patient's insurance card
- List of current prescriptions and/or over-the-counter medication, including dose and frequency
- Information about patient's medical and surgical history
- Recent test results, x-rays, or relevant records
Insurance and Payment Information
You are responsible for co-payments or charges that are not covered by your insurance. If you have questions regarding billing or which insurance plans we accept, please call our office in Fort Worth (817) 494-0566. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.
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