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Forms - Updated July 2012
Below are a number of forms from new patient registration to consents for treatment of a minor.
Each form has its unique title...please call or email us with further questions, etc.



Office Locations - Maps and other info
Grapevine -
2321 Ira E. Woods, Suite 180
Grapevine, TX 76051 - 817-329-2263
Keller -
4160 Heritage Trace Parkway Suite 424
Keller, TX 76248 - 817-741-7515
FINANCIAL FORMS:
Grapevine New Patient Packet
Heritage New Patient Packet
HIPPA PACKAGE:
Patient HIPAA Information
Office Policies
Misc:
Medical History
Instant Medical History
Record Release
Treatment of Minors Form
Televox Results
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