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All new patients please print and fill out the Patient Forms shown below and bring them with you to your first appointment.

If any patient information has changed since your last visit, such as your insurance carrier or your address, please complete a new Patient Information Sheet. Please bring your insurance card and photo identification to all appointments, as well as a referral from your primary care provider, if required by your insurance company.

PDF TX 65Patient Information Sheet
PDF TX 65Medical History Form
PDF TX 65Consent Form
PDF TX 65Medication Message Consent
PDF TX 65Notice of Privacy Practices