301 Trophy Branch Dr., Suite 100, Trophy Club, TX 76262 817-678-7395

New Patient Forms

a doctor speaking with a patient and using a laptop

To help reduce waiting time at your first appointment, all new patient paperwork can be accessed online to be printed and filled out prior to your appointment. We appreciate that you fill out each form and bring them in to your first appointment so that we can better serve you! If you should have any difficulty accessing or filling out these forms, please call our office and a knowledgeable staff member will be happy to assist you.

•	Medical History
•	Patient Registration
•	Notice of Privacy Practices, Notice of Insurance Benefits, Cancellation Policy, Social Media Release Form, and Authorization For Release of Medical History
•	The Epworth Sleepiness Scale