New Patient Forms

Please click on the appropriate links below to access our forms to print. They do require the free Adobe Acrobat to view. Complete the forms and bring them to your first visit. If you have any questions, call us at 972-542-7778. We will be happy to assist you.

If you would like to fax your completed forms, please fax them to 972-542-0067.

Required Forms For All Patients

Note: The "Notice of Privacy Practices" form is an informative pamphlet for you to read and you are not required to submit it with the other forms.

• Confidential Personal History
• Notice of Privacy Practices
• Acknowledgement of Receipt of Notice

United Health Care Patients

• Confidential Personal History
• Patient Health Questionnaire
• Patient Back Index
• Patient Neck Index

Auto, Worker's Compensation & Liability Injuries Patients

• Confidential Personal History
• Patient Health Questionnaire
• Injury Form

Once you have printed and filled out our forms, please click here or call us to schedule an appointment.