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Patient Documents and Forms



Procedure Video

Patient Documents & Forms

New Patient

New Patient Registration/ Medical History Form

Worker's Comp

Workers Comp/No Fault Form


Medical Release Form

Nuevo Paciente

Formulario de registro / historial médico de nuevos pacientes

Compensación de Trabajadores

Formulario de compensación de trabajadores / sin culpa

New Patient Intake

Intake form for new patients

Video Resources

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(214) 819-9600

Dallas Office

12655 Central Expy, Suite 650
Dallas, TX 75243

Fort Worth Office

6491 Southwest Blvd.
Benbrook, TX 76132

Odessa Office

850 North Tower Drive, Suite 104
Odessa, TX 79761